Neisseria gonorrhoeae: Difference between revisions
From IDWiki
Neisseria gonorrhoeae
(→: added citation) |
(→: added DGI) |
||
| Line 15: | Line 15: | ||
* Can cause anorectal pain, discharge, and pruritis |
* Can cause anorectal pain, discharge, and pruritis |
||
* Anal intercourse not required, especially in women |
* 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 == |
== Diagnosis == |
||
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
References
- ^ I Martin, P Sawatzky, V Allen, B Lefebvre, LMN Hoang, P Naidu, J Minion, P Van Caeseele, D Haldane, RR Gad, G Zahariadis, A Corriveau, G German, K Tomas, MR Mulvey. Multidrug-resistant and extensively drug-resistant Neisseria gonorrhoeae in Canada, 2012–2016. Canada Communicable Disease Report. 2019;45(2/3):45-53. doi:10.14745/ccdr.v45i23a01.
