Gonorrhea

Gonorrhea is caused by the bacterium Neisseria gonorrhoeae. Characteristically, it infects epithelia of the urethra, cervix, rectum, pharynx or conjunctiva and causes irritation or pain and purulent discharge. Spread on the skin and joints, which is unusual causes lesions on the skin, fever, and migratory polyarthritis or pauciartikuläre septic arthritis. Diagnosis is made by microscopy, culture or Nukleinsäureamplifikationtests. Several oral or injectable antibiotics can be used, but make resistance a growing problem.

N. gonorrhoeae is a Gram-negative cocci that occurs only in humans and is almost always transmitted through sexual contact. Urethral and cervical infections are most common, but infection in the pharynx or rectum may occur after oral or anal intercourse and conjunctivitis may be the result of contamination of the eye.

Gonorrhea is caused by the bacterium Neisseria gonorrhoeae. Characteristically, it infects epithelia of the urethra, cervix, rectum, pharynx or conjunctiva and causes irritation or pain and purulent discharge. Spread on the skin and joints, which is unusual causes lesions on the skin, fever, and migratory polyarthritis or pauciartikuläre septic arthritis. Diagnosis is made by microscopy, culture or Nukleinsäureamplifikationtests. Several oral or injectable antibiotics can be used, but make resistance a growing problem. N. gonorrhoeae is a Gram-negative cocci that occurs only in humans and is almost always transmitted through sexual contact. Urethral and cervical infections are most common, but infection in the pharynx or rectum may occur after oral or anal intercourse and conjunctivitis may be the result of contamination of the eye. After vaginal intercourse, the probability of transmission from women to men is about 20%, but from men to women, they may be higher. Newborns can conjunctival infection during passage through the birth canal purchase (Neonatal conjunctivitis: etiology), and children can suffer from gonorrhea as a result of sexual abuse. In 10-20% of women cervical infection aszendiert on the endometrium into the tubes (Salpingen) and the pelvic peritoneum causes inflammation of the pelvic cavity (PID). Chlamydia or intestinal bacteria can also cause PID. A cervicitis gonorrhoica is usually accompanied by dysuria or inflammation of the para-urethral Skene’s glands and Bartholin’s glands. In a small percentage of men an ascending urethritis epididymitis to progress. Disseminated gonococcal infection (DGI) by hematogenous spread occurs in <1% of the time, especially in women. A DGI typically affects the skin, tendon sheaths and joints. Rarely, pericarditis, endocarditis, meningitis and Perihepatitis. In approximately 15-25% of all heterosexual men and 35-50% of women with gonorrhea is a co-infection with Chlamydia trachomatis. Symptoms and complaints Only about 10-20% of infected women and very few infected men are asymptomatic. About 25% of men have minimal symptoms. Urethritis in men has an incubation period of 2-14 days. The onset is usually characterized by mild urethral discomfort, followed by hyperalgesia and tenderness of the penis, a dysuria and purulent discharge. A urinary frequency and urge incontinence may develop with spread of infection to the rear Urethraabschnitte. The study shows a purulent, yellow-green discharge, and the meatus may be inflamed. Gonorrhea (urethritis) © Springer Science + Business Media var model = {thumbnailUrl: '/-/media/manual/professional/images/119_gonorrhea_slide_6_springer_high_de.jpg?la=de&thn=0&mw=350' imageUrl: '/ - / media / manual /professional/images/119_gonorrhea_slide_6_springer_high_de.jpg?la=de&thn=0 ', title:' gonorrhea (urethritis) ', description:' u003Ca id = "v37896192 " class = ""anchor "" u003e u003c / a u003e u003cdiv class = ""para "" u003e u003cp u003eDiese figure shows an inflamed gland and purulent urethral discharge in a patient with gonorrhea u003c / p u003e u003c / div u003e 'credits'. © Springer Science + Business Media '

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