A Man with Severe Dysuria

Abstract

A 21-year-old man, James, attends a Sexual Health clinic with a 4-day history of severe pain on urination, associated with general malaise and feverishness. He does not have frequency of micturition, urgency, hesitancy, frank hematuria, or abdominal pain. He had unprotected receptive oral sex with a young woman whom he had met at a party 7 days previously; he did not have genital–genital contact with her. Before that encounter, his most recent sexual contact had been some 6 months previously with an ex-girlfriend.