Gonococcal Infections
Summary :
Table of Contents
- Definition
- Epidemiology
- Pathogenesis, immunology and antimcrobial resistance
- Clinical manifestations
- Gonococcal Infections in Females
- Laboratory diagnosis
- Ttreatment
- Recommendations
Abstract
Gonorrhea is a sexually transmitted infection of epithelium and commonly manifests as cervicitis, urethritis, proctitis, and conjunctivitis. If untreated, infections at these sites can lead to local complications such as endometritis, salpingitis, tuboovarian abscess, bartholinitis, peritonitis, and perihepatitis in the female; periurethritis and epididymitis in the male; and ophthalmia neonatorum in the newborn.
Disseminated gonococcemia is an uncommon event whose manifestations include skin lesions, tenosynovitis, arthritis, and (in rare cases) endocarditis or meningitis.
Neisseria gonorrhoeae is a gram-negative, nonmotile, non-spore-forming organism that grows in pairs (diplococci). Each individual organism is shaped like a coffee bean, with adjacent concave sides seen on Gram's stain. Gonococci, like all other Neisseria spp., are oxidase positive.
They are distinguished from other neisseriae by their ability to grow on selective media and to utilize glucose but not maltose, sucrose, or lactose...
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