Presentation
A repeat urethral smear for gram stain should be taken to determine if urethritis is still present and retested for urethral pathogens. [sahealth.sa.gov.au]
Entire Body System
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Asymptomatic
Infected subjects may be totally asymptomatic. [therapeutique-dermatologique.org]
Since more than one half of men with gonococcal urethritis (30) and one third of men with chlamydial urethritis (31) may be asymptomatic, a urethral Gram stain and studies for detecting gonorrhea and chlamydia should be obtained even in the absence of [medical-dictionary.thefreedictionary.com]
Therefore, all symptomatic and asymptomatic ano-genital N. meningitidis infections should be treated with Ceftriaxone 500 mg IMI as a single dose (B1). [sahealth.sa.gov.au]
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Lymphadenopathy
In men, gonococcal infection most frequently gives rise to acute anterior urethritis with very typical symptoms including a greenish yellow purulent discharge from the genitals, edematous meatitis, dysuria and sometimes inguinal lymphadenopathy, but no [therapeutique-dermatologique.org]
Immune System
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Inguinal Lymphadenopathy
In men, gonococcal infection most frequently gives rise to acute anterior urethritis with very typical symptoms including a greenish yellow purulent discharge from the genitals, edematous meatitis, dysuria and sometimes inguinal lymphadenopathy, but no [therapeutique-dermatologique.org]
Respiratoric
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Pharyngitis
Pharyngeal and rectal swab samples also need to be systematically collected from women and homosexual men. [therapeutique-dermatologique.org]
Workup
Microbiology
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Neisseria Gonorrhoeae
Neisseria gonorrhoeae is a species of Gram-negative, strictly aerobic diplococci bacteria that shows particular tropism for the glandular column-type cells of the endocervix and the urethra. [therapeutique-dermatologique.org]
Also found in: Dictionary, Thesaurus, Encyclopedia. gonococcal urethritis Etymology: Gk, gone, seed, kokkos, berry, ourethra, urethra, itis, inflammation gonococcal urethritis Urethritis caused by Neisseria gonorrhoeae. [medical-dictionary.thefreedictionary.com]
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Chlamydia Trachomatis
NGU is most commonly caused by Chlamydia trachomatis or Mycoplasma genitalium. [sahealth.sa.gov.au]
Treatment
Treatment for tysonitis is similar to treatment for gonococcal urethritis and centers on the use of appropriate antibiotics. gonorrhoeae ciprofloxacin, penicillin, and tetracycline resistance among men with gonococcal urethritis (3). [medical-dictionary.thefreedictionary.com]
Our findings do not support routine use of erythromycin for treatment of pregnant, penicillin-allergic patients. ( JAMA 238:1371-1373, 1977) [jamanetwork.com]
These findings provide a basis for the rapid differential diagnosis of urethritis, which will permit immediate, definitive treatment for most men with urethritis. FULL TEXT [annals.org]
Back to top Treatment Antibiotic treatment should not be commenced until urethral swabs have been taken. First line treatment - Doxycycline 100 mg orally twice a day for 7 days (D). [sahealth.sa.gov.au]
Epidemiology
They should only be used in very special circumstances (research, epidemiological studies). [therapeutique-dermatologique.org]
Prevention
Acknowledgement: with thanks to Melbourne Sexual Health Centre Back to top Disclaimer These guidelines are based on review of current literature, current recommendations of the United States Centres for Disease Control and Prevention, World Health Organization [sahealth.sa.gov.au]