Neisseria gonorrhoeae: Difference between revisions
From IDWiki
Neisseria gonorrhoeae
(→) |
(→) |
||
Line 6: | Line 6: | ||
** About 50% resistance to [[fluoroquinolones]] |
** About 50% resistance to [[fluoroquinolones]] |
||
** Rates of MDR gonorrhea is increasing in Canada, mostly driven by [[azithromycin]] resistance |
** Rates of MDR gonorrhea is increasing in Canada, mostly driven by [[azithromycin]] resistance |
||
⚫ | |||
** XDR gonorrhea is still rare in Canada [[CiteRef:CCDR2019]] |
|||
⚫ | |||
== Clinical Presentation == |
== Clinical Presentation == |
Revision as of 18:39, 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
- XDR gonorrhea is still rare in Canada [1]
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
References
- ↑ {{#invoke:Citation/CS1|citation |CitationClass=journal }}