TY - CHAP M1 - Book, Section TI - Gonococcal Infections A1 - Chumley, Heidi A1 - Usatine, Richard P. A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai Y1 - 2015 N1 - T2 - The Color Atlas of Pediatrics AB - A 17-year-old male presents to his pediatrician with 3 days of dysuria and penile discharge. A heavy purulent urethral discharge is seen (Figure 180-1). He has been sexually active with four female partners. 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 for possible coexisting Chlamydia. He was offered and agreed to testing for other sexually transmitted diseases. He was told to inform his partners of the diagnosis. He was counseled about safe sex. On his 1-week follow-up visit, his symptoms were gone and he had no further discharge. His gonorrhea nucleic acid amplification test was positive and his Chlamydia, rapid plasma reagin (RPR), and HIV tests were negative. His case was reported to the Health Department for contact tracing. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/04 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114878541 ER -