GONORRHOEA Dr. Yashika Introduction Causative agent : Neisseria gonorrhoea (gram negative diplococcus). Incubation period : 3-7 days. Site of invasion : columnar and transitional epithelium of the genitourinary tract. Primary sites of infection : endocervix, urethra and Bartholins gland. Other sites of infection : Oropharynx, anorectal and conjuctiva. Clinical features : Local: Excessive irritant vaginal discharge Dysuria Acute unilateral pain Swelling over labia. Pharyngeal infection Intermenstrual bleeding. Rectal discomfort. Signs : Swollen labia and inflammed. Mucopurulent vaginal discharge. Speculum examination reveals congested endocervix. Distant symptoms : Perihepatitis Septicaemia Complications: PID Infertility Ectopic pregnancy Chronic pelvic pain Tubo ovarian mass Bartholins gland abscess. Diagnosis Nucleic acid amplification test (NAAT) urine culture Drug sensitivity test. Treatment Adequate therapy for gonococcal infection. To treat both the partner simultaneously. To avoid multiple sex partner. To use condom till free from disease.

1. GONORRHOEA
Dr. Yashika

2. Introduction
• Causative agent : Neisseria gonorrhoea (gram negative
diplococcus).
• Incubation period : 3-7 days.
• Site of invasion : columnar and transitional epithelium of the
genitourinary tract.
• Primary sites of infection : endocervix, urethra and Bartholins
gland.
• Other sites of infection : Oropharynx, anorectal and conjuctiva.

3. Clinical features :
Local:
• Excessive irritant vaginal discharge
• Dysuria
• Acute unilateral pain
• Swelling over labia.
• Pharyngeal infection
• Intermenstrual bleeding.
• Rectal discomfort.

4. Signs :
• Swollen labia and inflammed.
• Mucopurulent vaginal discharge.
• Speculum examination reveals congested endocervix.

5. Distant symptoms :
• Perihepatitis
• Septicaemia
•Low grade fever
•Polyarthralgia
•Tenosynovitis
•Meningitis
•Endocarditis
•Skin rash

6. Complications:
• PID
• Infertility
• Ectopic pregnancy
• Chronic pelvic pain
• Tubo ovarian mass
• Bartholins gland abscess.

7. Diagnosis
• Nucleic acid amplification test (NAAT)
• urine culture
• Drug sensitivity test.

8. Treatment
• Adequate therapy for gonococcal infection.
• To treat both the partner simultaneously.
• To avoid multiple sex partner.
• To use condom till free from disease.