Gonorrhea (aka the clap, gonococcal infection) is a bacterial STI.

• Caused by N. gonorrhoeae

• In men:
  • Dysuria
  • Penile discharge
• In women:
  • Can be asymptomatic (50%)
  • Vaginal discharge
  • Pelvic pain

• PCR
• Traditionally, Dx with gram stain and culture. However, culture can still be done to determine sensitivity to abx
• Should also be tested for other STI's, e.g. chlamydia, syphilis, and HIV

• Ceftriaxone (Rocephin), as antibiotic resistance has developed to many previously used medications
• Chlamydia medications may be given in combo as ceftriaxone won't cover

• Left untreated, like chlamydia, can cause:
  • PID in women
  • Epididymitis in men
• Throughout the body, affecting joints and heart valves

• Chlamydia (another bacterial STI)
• Vaginal discharge