“…Haemophilus species, C. trachomatis , and viruses are other causes of mucopurulent conjunctivitis should be considered unless there is a sexual behavior history. Gonococcal arthritis involves joints at different sites in the body including; hands, fingers, and feet but spine does not affected (21–23). In the present case, the patient had a history of heterosexual contact 8 days prior to the onset of symptoms appearance.…”
We report a brief description of a case suffering from bacterial urethritis, conjunctivitis, and arthritis, caused by two different isolates of multiple drug-resistant Neisseria gonorrhoeae. Initial diagnosis was dependent on the patient history, clinical findings, symptoms, and the bacteriological data. Polymerase chain reaction confirmed the identification of the pathogens. Random amplified polymorphic DNA revealed two different patterns. Susceptibility testing was performed using Kirby–Bauer disk diffusion method and the minimum inhibitory concentration was also determined. It revealed multiple drug resistance associated with β-lactamase production. Only gentamicin, rifampicin, and azithromycin were active against the test pathogens. A dual therapy was initiated using gentamicin as well as azithromycin to treat the possible co-infection with Chlamydia trachomatis. Complete recovery of the patient achieved with resolved symptoms a week later.
“…Haemophilus species, C. trachomatis , and viruses are other causes of mucopurulent conjunctivitis should be considered unless there is a sexual behavior history. Gonococcal arthritis involves joints at different sites in the body including; hands, fingers, and feet but spine does not affected (21–23). In the present case, the patient had a history of heterosexual contact 8 days prior to the onset of symptoms appearance.…”
We report a brief description of a case suffering from bacterial urethritis, conjunctivitis, and arthritis, caused by two different isolates of multiple drug-resistant Neisseria gonorrhoeae. Initial diagnosis was dependent on the patient history, clinical findings, symptoms, and the bacteriological data. Polymerase chain reaction confirmed the identification of the pathogens. Random amplified polymorphic DNA revealed two different patterns. Susceptibility testing was performed using Kirby–Bauer disk diffusion method and the minimum inhibitory concentration was also determined. It revealed multiple drug resistance associated with β-lactamase production. Only gentamicin, rifampicin, and azithromycin were active against the test pathogens. A dual therapy was initiated using gentamicin as well as azithromycin to treat the possible co-infection with Chlamydia trachomatis. Complete recovery of the patient achieved with resolved symptoms a week later.
“…Gonococcal conjunctivitis (GC) is rare in nonneonatal populations and the incubation period between exposure and ocular manifestations is 3–19 days. 1…”
Section: To the Editorsmentioning
confidence: 99%
“…The Center for Disease Control and Prevention recommend a single 1-g intramuscular injection of ceftriaxone for adolescents. 1,4…”
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.