GONORRHOEA
Essentials of Diagnosis
In females
•
Discharge, dysuria, frequency and urgency.
•
Difficulty in walking, soreness around parts,
burning while passing urine
•
Vulva is swollen and reddened.
In males
•
Thick creamy, greenish yellow purulent
discharge.
•
Severe pain during micturition with frequency
and urgency.
•
Symptoms are more marked in posterior urethritis.
Management
o
Penicillin is the drug of choice.
o
In uncomplicated gonorrhoea. Procaine penicillin
G 2,400,000 units/Norfloxacin 800 mg/Ampicillin 3 gm/Ciprofloxacin 500
mg/Azithromycin 1000 mg stat.
o
Tetracyclines, Erythromycin and Chloramphenicol
500 mg 6 hourly up to 2-4 grams; Spectinomycin for resistant case.
