RT Book, Section
A1 Chumley, Heidi S.
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164349494
T1 Gonococcal and Chlamydia Urethritis
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164349494
RD 2024/04/16
AB A  24-year-old  man  presents  to  a  primary  care  clinic  with  3  days  of  dysuria  and  heavy  purulent  penile  discharge  (Figure  224-1).  He  was  diagnosed  with  gonococcal  urethritis  by  clinical  appearance,  and  a  urine  specimen  was  sent  for  testing  to  confirm  the  gonorrhea  and  test  for  Chlamydia.  He  was  treated  with  ceftriaxone  250  mg  IM  for  gonorrhea  and  1  g  of  oral  azithromycin.  He  was  tested  for  other  sexually  transmitted  infections.  He  was  advised  to  inform  his  partners  of  the  diagnosis  and  was  counseled  about  safer  sex.  On  his  1-week  follow-up  visit,  his  symptoms  were  gone  and  he  had  no  further  discharge.  Nucleic  acid  amplification  tests  were  positive  for  gonorrhea  and  Chlamydia.  Rapid  plasma  reagin  (RPR)  and  HIV  tests  were  negative.  His  case  was  reported  to  the  Health  Department  for  contact  tracing.