eMedicine Specialties > Infectious Diseases > Sexually Transmitted Diseases

Gonococcal Infections: Multimedia

Author: Brian Wong, MD, Assistant Professor of Medicine, Division of Infectious Diseases, Loma Linda University Medical Center
Coauthor(s): Larry I Lutwick, MD, Professor of Medicine, State University of New York, Downstate Medical School; Director, Infectious Diseases, Veterans Affairs New York Harbor Health Care System, Brooklyn Campus; Renuka Heddurshetti, MD, Fellow in Infectious Diseases, Department of Internal Medicine, State University of New York at Brooklyn; Sanda Cebular, MD, Fellow, Department of Medicine, Section of Infectious Diseases, State University of New York at Brooklyn
Contributor Information and Disclosures

Updated: Apr 21, 2009

Multimedia

This patient presented with gonococcal urethritis...Media file 1: This patient presented with gonococcal urethritis, which became systemically disseminated, leading to gonococcal conjunctivitis of the right eye. Courtesy of the CDC/Joe Miller, VD.
This patient presented with gonococcal urethritis...

This patient presented with gonococcal urethritis, which became systemically disseminated, leading to gonococcal conjunctivitis of the right eye. Courtesy of the CDC/Joe Miller, VD.

More on Gonococcal Infections

Overview: Gonococcal Infections
Differential Diagnoses & Workup: Gonococcal Infections
Treatment & Medication: Gonococcal Infections
Follow-up: Gonococcal Infections
Multimedia: Gonococcal Infections
References
Further Reading

References

  1. Ilina EN, Vereshchagin VA, Borovskaya AD, Malakhova MV, Sidorenko SV, Al-Khafaji NC, et al. Relation between genetic markers of drug resistance and susceptibility profile of clinical Neisseria gonorrhoeae strains. Antimicrob Agents Chemother. Jun 2008;52(6):2175-82. [Medline].

  2. Palmer HM, Young H, Graham C, Dave J. Prediction of antibiotic resistance using Neisseria gonorrhoeae multi-antigen sequence typing. Sex Transm Infect. Aug 2008;84(4):280-4. [Medline].

  3. Kerle KK, Mascola JR, Miller TA. Disseminated gonococcal infection. Am Fam Physician. Jan 1992;45(1):209-14. [Medline].

  4. Department of Health and Human Services, Centers for Disease Control and Prevention. STD Surveillance 2006: National Profile, Gonorrhea. Available at http://www.cdc.gov/std/stats/gonorrhea.htm.

  5. Da Ros CT, Schmitt Cda S. Global epidemiology of sexually transmitted diseases. Asian J Androl. Jan 2008;10(1):110-4. [Medline].

  6. AVERT.org. STD Statistics Worldwide. Available at http://www.avert.org/stdstatisticsworldwide.htm.

  7. Department of Health and Human Services, Centers for Disease Control and Prevention. STD Surveillance 2006: Trends in Reportable Sexually Transmitted Diseases in the United States, National Surveillance Data for Chlamydia, Gonorrhea, and Syphilis. Available at http://www.cdc.gov/std/stats/trends2006.htm.

  8. Holder NA. Gonococcal infections. Pediatr Rev. Jul 2008;29(7):228-34. [Medline].

  9. Schachter J, Hook EW 3rd, McCormack WM, Quinn TC, Chernesky M, Chong S, et al. Ability of the digene hybrid capture II test to identify Chlamydia trachomatis and Neisseria gonorrhoeae in cervical specimens. J Clin Microbiol. Nov 1999;37(11):3668-71. [Medline].

  10. Hjelmevoll SO, Olsen ME, Sollid JU, Haaheim H, Melby KK, Moi H, et al. Clinical validation of a real-time polymerase chain reaction detection of Neisseria gonorrheae porA pseudogene versus culture techniques. Sex Transm Dis. May 2008;35(5):517-20. [Medline].

  11. Whiley DM, Garland SM, Harnett G, Lum G, Smith DW, Tabrizi SN, et al. Exploring 'best practice' for nucleic acid detection of Neisseria gonorrhoeae. Sex Health. Mar 2008;5(1):17-23. [Medline].

  12. McNally LP, Templeton DJ, Jin F, Grulich AE, Donovan B, Whiley DM, et al. Low positive predictive value of a nucleic acid amplification test for nongenital Neisseria gonorrhoeae infection in homosexual men. Clin Infect Dis. Jul 15 2008;47(2):e25-7. [Medline].

  13. Alary M, Gbenafa-Agossa C, Aïna G, Ndour M, Labbé AC, Fortin D, et al. Evaluation of a rapid point-of-care test for the detection of gonococcal infection among female sex workers in Benin. Sex Transm Infect. Dec 2006;82 Suppl 5:v29-32. [Medline].

  14. Greer L, Wendel GD Jr. Rapid diagnostic methods in sexually transmitted infections. Infect Dis Clin North Am. Dec 2008;22(4):601-17, v. [Medline].

  15. CDC, Workowski KA, Berman SM. Sexually transmitted diseases treatment guidelines, 2006. MMWR Recomm Rep. Aug 4 2006;55(RR-11):1-94. [Medline][Full Text].

  16. CDC. Update to CDC's sexually transmitted diseases treatment guidelines, 2006: fluoroquinolones no longer recommended for treatment of gonococcal infections. MMWR Morb Mortal Wkly Rep. Apr 13 2007;56(14):332-6. [Medline][Full Text].

  17. Morrow GL, Abbott RL. Conjunctivitis. Am Fam Physician. Feb 15 1998;57(4):735-46. [Medline].

  18. [Best Evidence] Lin JS, Whitlock E, O'Connor E, Bauer V. Behavioral counseling to prevent sexually transmitted infections: a systematic review for the U.S. Preventive Services Task Force. Ann Intern Med. Oct 7 2008;149(7):497-508, W96-9. [Medline].

  19. Van Howe RS. Genital ulcerative disease and sexually transmitted urethritis and circumcision: a meta-analysis. Int J STD AIDS. Dec 2007;18(12):799-809. [Medline].

  20. Sparling PF. Gonococcal Infections. In: Cecil RL, Goldman L, Bennett JC, eds. Cecil Textbook of Medicine. ed. Philadelphia, Pa: WB Saunders; 2000:1743-5.

  21. Sparling PF, Handsfield HH. Neisseria gonorrhoeae. In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 5th ed. Philadelphia, Pa: Churchill Livingstone; 2000:2242-58.

  22. World Health Organization. Initiative for Vaccine Research (IVR). Available at http://www.who.int/vaccine_research/diseases/soa_std/en/index2.html.

Further Reading

The body of this article is derived from the following references:

  • Sparling PF. Gonococcal Infections. In: Cecil RL, Goldman L, Bennett JC, eds. Cecil Textbook of Medicine. 1st ed. Philadelphia, Pa: WB Saunders; 2000:1743-5.
  • Sparling PF, Handsfield HH. Neisseria gonorrhoeae. In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 5th ed. Philadelphia, Pa: Churchill Livingstone; 2000:2242-58.

Keywords

gonorrhea, gonococcal infection, Neisseria gonorrhoeae, N gonorrhoeae, sexually transmitted disease, STD, the clap, gonorrheal infection, ophthalmia neonatorum, endocervicitis, urethritis, pelvic inflammatory disease, PID, anterior urethritis, salpingitis, tuboovarian abscess, tubo-ovarian abscess, endometritis, Fitz-Hugh and Curtis syndrome, Fitz-Hugh-Curtis syndrome, perihepatitis, gonococcal urethritis, gonococcal pelvic inflammatory disease, gonococcal PID, gonococcemia, disseminated gonococcal infection, DGI, gonococcal cervicitis, gonococcal pharyngitis, cervical gonorrhea, gonococcal bacteremia, gonococcal arthritis, gonococcal meningitis, gonococcal endocarditis, gonococcal septic arthritis

Contributor Information and Disclosures

Author

Brian Wong, MD, Assistant Professor of Medicine, Division of Infectious Diseases, Loma Linda University Medical Center
Disclosure: Nothing to disclose.

Coauthor(s)

Larry I Lutwick, MD, Professor of Medicine, State University of New York, Downstate Medical School; Director, Infectious Diseases, Veterans Affairs New York Harbor Health Care System, Brooklyn Campus
Larry I Lutwick, MD is a member of the following medical societies: American College of Physicians and Infectious Diseases Society of America
Disclosure: Nothing to disclose.

Renuka Heddurshetti, MD, Fellow in Infectious Diseases, Department of Internal Medicine, State University of New York at Brooklyn
Renuka Heddurshetti, MD is a member of the following medical societies: American College of Physicians and Infectious Diseases Society of America
Disclosure: Nothing to disclose.

Sanda Cebular, MD, Fellow, Department of Medicine, Section of Infectious Diseases, State University of New York at Brooklyn
Sanda Cebular, MD is a member of the following medical societies: American College of Physicians-American Society of Internal Medicine and American Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Kenneth C Earhart, MD, Deputy Head, Disease Surveillance Program, United States Naval Medical Research Unit #3
Kenneth C Earhart, MD is a member of the following medical societies: American College of Physicians, American Society of Tropical Medicine and Hygiene, Infectious Diseases Society of America, and Undersea and Hyperbaric Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

John L Brusch, MD, FACP, Assistant Professor of Medicine, Harvard Medical School; Consulting Staff, Department of Medicine and Infectious Disease Service, Cambridge Health Alliance
John L Brusch, MD, FACP is a member of the following medical societies: American College of Physicians and Infectious Diseases Society of America
Disclosure: Nothing to disclose.

CME Editor

Eleftherios Mylonakis, MD, Clinical and Research Fellow, Department of Internal Medicine, Division of Infectious Diseases, Massachusetts General Hospital
Eleftherios Mylonakis, MD is a member of the following medical societies: American Association for the Advancement of Science, American College of Physicians, American Society for Microbiology, and Infectious Diseases Society of America
Disclosure: Nothing to disclose.

Chief Editor

Burke A Cunha, MD, Professor of Medicine, State University of New York School of Medicine at Stony Brook; Chief, Infectious Disease Division, Winthrop-University Hospital
Burke A Cunha, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, and Infectious Diseases Society of America
Disclosure: Nothing to disclose.

 
 
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