Abstract
Richard’s partner, Maria, attends the clinic the next day (see Case 7). She is symptomless and was shocked when Richard told her that he had gonorrhoea and that she must have infected him. Her most recent sexual contact had been with Richard, and she had no other sexual partners for 4 months. Her last menstrual period had ended 1 week previously.
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Notes
- 1.
Cure of pharyngeal gonorrhoea is less certain than anogenital infection, and inadequately treated infection at this site may be the source of re-infection of a sexual partner. It is therefore important to recognize pharyngeal gonorrhoea, and undertake at least one test of cure after treatment. Disseminated infection from the pharynx is a recognized complication.
- 2.
The risk of a male acquiring gonorrhoea from an infected female is somewhat lower, being estimated to be between 20 and 50%. Studies suggest that inoculum size is important in establishing infection.
- 3.
About 40% of women with gonorrhoea have concurrent chlamydial infection.
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McMillan, A. (2009). A Female Contact of a Man with Gonorrhoea. In: Sexually Transmissible Infections in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-84882-557-4_8
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DOI: https://doi.org/10.1007/978-1-84882-557-4_8
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