It is the most common venereal disease and a suppurative infection.
What I'm talking about is you-gonorrhea is a genitourinary disease caused by Neisseria gonorrhoeae infection, which can not only cause inflammation of the reproductive system, but also lead to eye, pharynx, rectal infection and bacteremia caused by blood transmission. The performance of male acute gonorrhea acute urethritis can involve both pre-urethritis (red swelling, pain and heat, gonorrhea) and post-urethritis (frequent urination, urination, pain, hematuria), which often cause prostatitis, epididymitis, seminal vesicle inflammation and cystitis. At the beginning of the urethral orifice is red and swollen, slight itching pain, can be accompanied by inguinal lymphadenitis, prepuce balanitis. (about 60% of women are asymptomatic or mild) gonococcal cervicitis: symptomatic vaginal secretions are often abnormal and increased, gynecological examination showed cervical redness, tenderness and purulent secretions. Often occurs 2 ~ 5 days after sexual intercourse urgent urination, frequent urination, pain, examination of urethral mouth redness and swelling, glandular duct blockage can cause vestibular gland abscess. Gonococcal anorectal inflammation mainly occurs in gay men.
I'm talking about you-gonorrhea.
Gonorrhea is a disease of the genitourinary system caused by Neisseria gonorrhoeae infection, which can not only cause inflammation of the reproductive system, but also lead to eye, pharynx, rectal infection and bacteremia caused by blood transmission. It is transmitted mainly through sexual intercourse and occasionally through indirect contact.
What is Neisseria gonorrhoeae?
Neisseria gonorrhoeae is a G-diplococcus, oval or kidney-shaped, arranged in pairs and often located in the cytoplasm of polymorphonuclear leukocytes. It is not easy to survive after leaving the human body and is very sensitive to general disinfectants. Mainly invades the mucous membrane, especially the monolayer columnar epithelium and the transitional epithelium forms the mucous membrane, causes the organism infection.
Male acute gonorrhea
Acute urethritis shows that 90% of the infected people have symptoms. It can not only involve pre-urethritis (redness, swelling, pain and heat, pus, gonorrhea) but also post-urethritis (frequent urination, urgent urination, pain, hematuria), often causing prostatitis, epididymitis, seminal vesiculitis and cystitis.
The symptoms progressed as follows: redness and swelling of the urethral orifice, slight itching and pain, thin mucus, yellowish green viscous purulent after 1 day, urethral irritation symptoms, inguinal lymphadenitis, prepuce balanitis.
Acute gonorrhea in women: (about 60% of women are asymptomatic or mild)
Gonococcal cervicitisMost of the infected people are asymptomatic, and those with symptoms are often abnormal and increased vaginal discharge, abnormal bleeding, pain and tenderness in the middle and lower abdomen, gynecological examination shows cervical redness and swelling, tenderness and purulent secretions.
Acute urethritis: urination often occurs 2-5 days after sexual intercourse, urination is urgent, frequent urination, pain, examination of urethral mouth redness and swelling, pus.
Vestibular mastitisThere is a blush around the glandular duct during acute infection, and there is pus exudation at 1 point behind the labia majoris. Blockage of the glandular duct can cause vestibular large gland abscess.
Gonococcal anorectal inflammation
Mainly occurs in gay men, women can be caused by gonococcal cervicitis secretions directly infected by anorectal.
Gonococcal pharyngitis
It is more common in oral sex, showing acute pharyngitis or acute tonsillitis.
Laboratory tests related to the diagnosis of gonorrhea
1. Direct smears of urethral or cervical purulent secretions were smeared for Gram staining. A large number of polymorphonuclear leukocytes and Gram-negative diplococci were seen in the cells.
2. When the bacterial culture samples were cultured on the selective medium, there were typical colonies and the oxidase test was positive.
How to make a diagnosis
1. Medical history: history of unclean sexual intercourse, history of sexual partner infection, history of indirect contact with patients with gonorrhea, history of newborn mother with gonorrhea and so on.
two。 Incubation period: the incubation period of gonorrhea was 1 ~ 10 days, with an average of 3 ~ 5 days.
3. Clinical manifestations: there are clinical manifestations of various types of gonorrhea.
4. Laboratory examination
(1) Direct smear: gram-negative diplococci in polymorphonuclear leukocytes
(2) bacterial culture: gram-negative diplococcus was seen.
After the diagnosis, there is treatment.
Need to use antibiotics, such as β-lactam: ceftriaxone sodium, cefotaxime sodium, macrolides: spectinomycin, quinolones: ciprofloxacin, ofloxacin
Self-judgment of curative effect
Within 2 weeks after treatment, under the condition of no history of sexual contact: (1) all clinical symptoms and signs disappeared. (2) Neisseria gonorrhoeae reexamination (-) was performed from 4 to 7 days after treatment.