Gonococcal pharyngitis.

Gonococcal pharyngitis.

The causative organism of gonorrhoea, Neisseria gonorrhoeae, has a special predilection for columnar epithelium. It is a delicate organism easily destroyed by heat, drying, mild antiseptics, and soap solutions. Transference of infection occurs when moist infective discharges come into contact with susceptible mucous membranes. Although the usual portal of entry of N. gonorrhoeae is the lower ge...

Transfer of gonococcal pharyngitis by kissing?

The relationship to fellatio is shown in a report by Wiesner, Tronca, Bonin, Petersen, and Holmes (1973) from the U.S.A. in which the incidence in homosexual males was fourteen out of 143 (9-8 per cent.) compared with three out of 217 (1 4 per cent.) in heterosexual males. Also from the U.S.A., Owen and Hill (1972) reported finding pharyngeal gonorrhoea in eleven out of 79 (13 9 per cent.) homo...

Pharyngitis

Pharyngitis.

Sore throat is one of the most common reasons for visits to family physicians. While most patients with sore throat have an infectious cause (pharyngitis), fewer than 20 percent have a clear indication for antibiotic therapy (i.e., group A beta-hemolytic streptococcal infection). Useful, well-validated clinical decision rules are available to help family physicians care for patients who present...

Gonococcal arthritis (disseminated gonococcal infection).

Septic arthritis caused by N gonorrhoeae is monoarticular or pauciarticular, and is more commonly associated with positive synovial fluid cultures and negative blood cultures. Gonococcal bacteremia is more likely to be associated with polyarthralgias and skin lesions. The diagnosis of gonococcal arthritis or DGI is also secure if a mucosal gonococcal infection is documented in the presence of a...