Gonorrhoea

Question 1

What is the cause of Gonorrhoea?

Answer 1

Gram negative diplococcus Neisseria gonorrhoea

Question 2

What are the features of Gonorrhoea?

Answer 2

• Males: urethral discharge, dysuria
• Females: Cervicitis (e.g. leading to vaginal discharge)
• Rectal and pharyngeal infection is usually asymptomatic

Question 3

What are some complications of gonorrhoea?

Answer 3

• Disseminated gonococcal infection (DGI)
• Local complications
  
  • Urethral strictures
  • Epididymitis
  • Salpingitis

Question 4

What is the management of gonorrhoea?

Answer 4

1. Ceftriaxone 500mg IM + Azithromycin 1g Oral. - both as a single dose.
2. If ceftriaxone is refused or contraindicated use cefixime PO.

Question 5

What is the most common cause of sepsis in young adults?

Answer 5

Disseminated gonococcal infection is the most common cause of septic arthritis in young adults.

Question 6

Describe the classic inital triad of gonorrhoea infection and Fitz-Hugh-Curtis syndrome.

Answer 6

Initially there may be a classic triad of symptoms: tenosynovitis, migratory polyarthritis and dermatitis.

Later complications include septic arthritis, endocarditis and perihepatitis (Fitz-Hugh-Curtis syndrome)