Sexually Transmitted Infections by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9783030022006
Publisher: Springer International Publishing

9.6 Clinical Presentation

Gonococcal infections include urethral, anorectal, pharyngeal, and conjunctival infections in males and females. The main described risk factors for the acquisition of gonorrhea are summarized in Box 9.1. The differential diagnosis depends on the mucocutaneous site. Untreated infections can lead to pelvic inflammatory disease (PID), disseminated gonococcal infections, and, although rare, endocarditis and meningitis. Co-infection with C. trachomatis in the same site, is frequent.

Box 9.1 Main Described Risk Factors for Gonorrhea

Adults

– Age less than 25 years

– Black race

– History of gonococcal infection or other sexually transmitted infections (STI)

– Sex between MSM

– New or multiple sexual partners

– Prostitution

– Drug abuse or misuse

– Unprotected oral sex

Children

– Mothers with a history of STI or substance abuse

– Mothers without prenatal care

– Non-birth prophylaxis for neonatal ophthalmopathy

– Sexual abuse

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