Neisseria gonorrhoeae: Difference between revisions
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Neisseria gonorrhoeae
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* Can cause anorectal pain, discharge, and pruritis |
* Can cause anorectal pain, discharge, and pruritis |
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* Anal intercourse not required, especially in women |
* Anal intercourse not required, especially in women |
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=== Disseminated gonococcal infection === |
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* Classically presents with tenosynovitis (often of wrists) or frank arthritis, with pustular lesions |
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* Diagnosed with genital testing for gonorrhea, ± blood cultures or arthrocentesis |
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== Diagnosis == |
== Diagnosis == |
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Revision as of 15:33, 27 August 2019
- Causes gonorrhea
Epidemiology
- Resistance
- About 50% resistance to fluoroquinolones
- Rates of MDR gonorrhea is increasing in Canada, mostly driven by azithromycin resistance[1]
- XDR gonorrhea is still rare in Canada
Clinical Presentation
Anorectal gonorrhea
- Often asymptomatic
- Can cause anorectal pain, discharge, and pruritis
- Anal intercourse not required, especially in women
Disseminated gonococcal infection
- Classically presents with tenosynovitis (often of wrists) or frank arthritis, with pustular lesions
- Diagnosed with genital testing for gonorrhea, ± blood cultures or arthrocentesis
Diagnosis
- Resistance
- MDR gonorrhea: resistance to one of azithromycin or a cephalosporin
- XDR if resistance to both azithromycin and a cephalosporin
- ↑ Multidrug-resistant and extensively drug-resistant gonorrhea in Canada, 2012–2016. CCDR. 2019:45(2/3):45–53. https://doi.org/10.14745/ccdr.v45i23a01
