Gonorrhea Flashcards
Gonorrhea
STD caused by Nisseria Gonorrhea
Affects mucosa and transitional epithelium
Causes urethritis
Pathogenesis
Initially mucosal surfaces are infected
Urethra
Rectum
Endocervix
Pharynx
Conjunctiva
Later there is systemic spread
Bacteria has pilli that help attach to the epithelium
Genital gonorrhoea in men
Urethritis
Dysuria
Pus laden discharge
Genital gonnorhea regional complications in men
Acute epididymitis
Chronic prostatitis
Genital gonorrhoea in women
Urethritis
Cervicitis
Mild cloudy discharge
Erythematous ostium
Regional complications in women
Salpingitis
Peritonitis
Pelvic Inflammatory Disease
Vulvovaginitis
Gonococcal blennorhea
Infection spreads while child passes through birth canal
Pus laden discharge
Blenorrhea leads to
Erythema and swelling of eye lids
Conjunctivitis
Risk of corneal ulceration
Other types of gonorrhoea
Anorectal gonorrhoea
Pharyngeal gonorrhoea
Disseminated gonococcal infection (sepsis) triad
Polyarthralgia without arthritis
Tenosynovitis
Dermatitis
Dermatitis in DGI
Grey pustules on erythematous base
Often over joints
DGI other clinical features
Fever
Chills
Malaise
Septic vasculitis
Gonococcal arthritis
Endocarditis
Meningitis
Gonococcal arthritis diagnosis
Joint aspiration
Diagnosis
Direct smear culture
Therapy
Cefixim
Ceftriaxone
Coprofloxacin
Azithromycin
Pregnancy: erythromycin
Blenorhoea: rinse eye with physiological saline
