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GONORRHEA |
Hello Dr. Gian,
I am doing a case study for my Microbiology class. I am having huge
problems with doing a diagnoses of the symptoms that were given:
22 year old moderately sexually active female with slight fever- 38.5C
frequent urination burning on urination vaginal discharge (no color or
smell was indicated) small lesion on the labia urine analysis pH of 8.2
some white cells and few red blood cells and protein found in urine
smear of Gram-negative cocci.
I first thought that the lesion was a dead give away for syphilis,
however the smear of the Gram-negative cocci (not a sign of syphlis)
leads me to believe that I am wrong. I am now leading to believe that it
is Gonorrhea, but the lesion is throwing me off. What I am asking is if
it is uncommon to have a lesion with gonorrhea or if it is possible to
obtain one. Your help on this would be greatly appreciated. Thanks.
Sincerely,
DanHi,
the young woman has a urethritis and vaginitis and a Gram negative
coccus in the urine smear. Bacteria usually increase the pH as they
break down urea to ammonia. I would say that your bet on
Gonorrhea is a
good one. Good luck.
Dr. Gian |
From:
Sent: 9/22/2004 11:00 PM
To: drgian@stdweb.com
Subject:
Dear Dr. Gian:
My girlfriend and I have been together for nine months. We had sex for
the first time on January 18, 2004. On January 26th, she went to the
doctor because she suspected that she might have a bladder infection.
She was prescribed an antibiotic, and then the medication was changed to
another antibiotic. We both have been monogamus the entire time of our
relationship, but on October 4th my girlfriend suspected another bladder
infection. She visited the doctor on October 5th and was prescribed
Ciprol 1000 mg. for seven days. During that same period, I had a slight
discharge and soreness in my mouth, but no pain when I urinated. I
visited the doctor and explained the situation with the doctor. She
ordered urine cultures for Chlamydia and Gonorrhea. When I got my
results, I tested positive for Gonorrhea. We have both been treated for
this. My question is what is the possibility that this was a result of
being infected by a partner we had before we were together? This last
time that she had sex with someone else was August 13, 2003; my last
time was January 17, 2004.
In 1974, while in the military, I was diagnosed and treated for
Gonnorrhea. The symptoms were very apparent: discharge, burning
sensation during urination, and pain. Can you explain why my symptoms
this time were so mild, when the first time they were so definitive?
Thank you,Hi,
it seems to me that the most important piece of information is that you
had a previous infection with the Gonococcus bacterium in 1974.
Re-infection...I have seen this over and over. It may be a matter of
behavior in repeating the same mistakes or it may be a matter of poorly
treated primary infection, or a sign of antibiotic resistance, as
recently reported in Hawaii and California, or a combination of these
factors bur this is not a uncommon situation both for Gonorrhea and
Chlamydia.
You do not say whether your girlfriend was also diagnosed for GC.
However I see that she took a Cipro dose enough for an army and so she
should be all right. May be you want to consider retesting your urine in
a couple of months.
Be well.
Dr. Gian
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From: -----etime----@aol.com
To: webmaster@stdweb.com
Sent: Friday, November 07, 2003 8:55 PM
Subject: (no subject)
i had unprotected sex a few times with my boyfriend to make a long story
short now his ex is saying he gave her gonnorrhea i have no symptons nor
dfoes he it would of been about 8 months ago that he had been exposed
does it usually take that long for symptons to show?
Hi,
Possible but unlikely. I like short stories. You: no symptoms. Partner:
no symptoms. Ex with GC. What do you mean " he had been exposed" and how
does it relate to your question about symptoms?. GC symptoms appear
within few days from the contact with an infected partner. However
situations are different and people poorly treated can carry on the bug
for months with little or no symptoms. I don’t like medications very
much but STD is one of the situation where may be is better to overdo
than underdo when it comes to medicines. The other side is that GC is
developing resistance to our best weapons like in Hawaii and California
where we lost a great antibiotic for GC because of the bug adaptation to
it. Well, any living thing wants to survive !!!
Take good care.
Dr. Gian |
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