Archive for 'Men’s Health-Erectile Dysfunction'

GONORRHOEA – MANAGEMENT

Posted on October 11, 2010, under Men's Health-Erectile Dysfunction.

Management includes:

antibiotic therapy;

abstinence from sex during treatment;

follow-up for test-of-cure cultures; and

tracing, investigation and treatment of recent sex contacts.

Standard practice is to treat patients on the first visit on the results of gram-stained smears or on the basis of a contact history. The penicillins have been the first line treatment for gonorrhoea. If infection is likely to be due to PPNG, treatment with spectinomycin or a cephalosporin (e.g. cefotaxime or ceftriaxone) should be commenced. Infections acquired in South East Asia should be assumed to be penicillin resistant. In Australia there are considerable regional differences in the levels of PPNG. Where the incidence of PPNG is high, as in Sydney and Melbourne, PPNG regimens should be the first line treatment.

For patients allergic to penicillin, spectinomуcin can be used except during pregnancy or lactation when erythromycin should be used. Cephalosporins should be given with caution to patients known to be hypersensitive to penicillin.
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GONORRHOEA – CLINICAL MANIFESTATIONS 3

Posted on October 8, 2010, under Men's Health-Erectile Dysfunction.

Septicaemia is uncommon in gonorrhoea but haematogenously disseminated focal lesions may occur in the skin or in mucous, synovial or other membranes. Extragenital immune lesions may involve joints, skin and other sites.

Septicaemic skin lesions are usually erythematous papules which may progress to superficial pustules and heal in a few days without scarring.

Arthritis may occur and may or may not be septic. Septic gonococcal arthritis is typically monoarticular and usually involves the knee. Tenosynovitis is occasionally seen.

Meningitis, endocarditis, myocarditis and pericarditis occur rarely.
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