RT Book, Section
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
SR Print(0)
ID 1114878541
T1 Gonococcal Infections
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114878541
RD 2024/09/12
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.