Neisseria gonorrhoeae: Difference between revisions

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Neisseria gonorrhoeae
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* Resistance
* Resistance
** 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
** XDR gonorrhea is still rare in Canada



Revision as of 15:23, 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

Clinical Presentation

Anorectal gonorrhea

  • Often asymptomatic
  • Can cause anorectal pain, discharge, and pruritis
  • Anal intercourse not required, especially in women

Diagnosis

  • Resistance
    • MDR gonorrhea: resistance to one of azithromycin or a cephalosporin
    • XDR if resistance to both azithromycin and a cephalosporin