Gonorrhea is the second most common sexually transmitted infection (STI)...
In neonates, assess for risk factors such as premature or prolonged membrane rupture, presence of fetal scalp monitoring, or maternal history of infection.
Onset of eye findings in oph...
Changing resistance patterns in the United States led to extended-spectrum cephalosporin as initial therapy.
Neonates
Ophthalmia neonatorum: ceftriaxone 25 to 50 mg/kg IV or IM (sing...
Provide risk reduction education.
Sexual contacts (including a newborn’s mother and her partner[s]) of patients with gonorrhea should be counseled and treated.
Eval...
American Academy of Pediatrics. Gonococcal infections. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2015 Report of the Committee on Infectious Diseases. 30th ed. ...
098.0 Gonococcal infection (acute) of lower genitourinary tract
760.2 Maternal infections affecting fetus or newborn
098.40 Gonococcal conjunctivitis (neonatorum)
098.89 Gonococcal infection of...
Q: What are the advantages of the NAATs for making a diagnosis?
A: The transcription-mediated amplification (TMA) test of urine samples, approved by the FDA for women, can be used to simultaneously...
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Pathogenesis of gonococcal infections. Neisseria gonorrhoea is a gram-negative diplococcus whose surface pili form a barrier against phagocytosis by neutrophils. The pili contain an IgA protease that digests IgA on the luminal surface of the mucous membranes of the urethra, endocervix, and fallopian tube, thereby facilitating attachment of gonococci. Gonococci cause endocervicitis, vaginitis, and salpingitis. In men, gonococci attached to the mucous membrane of the urethra cause urethritis ...
Pathogenesis of gonococcal infections. Neisseria gonorrhoea is a gram-negative diplococcus whose surface pili form a barrier against phago...
<bold>FIG. 125.1.</bold> Skin lesions characteristic of septicemia due to <italic>Neisseria gonorrhoeae</bold>. A: Hemorrhagic spot 5 to 6 mm in diameter on the upper arm; the gray area 1 to 2 mm in diameter in the center indicates necrosis. B: Pustulovesicular lesion on the finger of the same patient; the necrotic center is evident as a gray area.
<bold>FIG. 125.1.</bold> Skin lesions characteristic of septicemia due to <italic>Neisseria gonorrhoeae</bold>. A:...
FIG. 11.50. Disseminated gonococcemia. Neisseria gonorrhoeae may disseminate from mucosal surfaces via the bloodstream and produce arthritis/arthralgia and a rash. The most characteristic lesion is the hemorrhagic vesicopustule seen in the web space of the teenage girl's hand. There is a pustule on the sole of her foot.
FIG. 11.50. Disseminated gonococcemia. Neisseria gonorrhoeae may disseminate from mucosal surfaces via the bloodstream and produce arthrit...
Disseminated gonorrhea: pustule with hemorrhagic base and necrotic center.
Fig. 17-10 Urethral discharge associated with gonorrhea. This discharge may vary in color and copiousness and is accompanied by burning during urination.
Fig. 17-10 Urethral discharge associated with gonorrhea. This discharge may vary in color and copiousness and is accompanied by burning du...