![]() ![]() ![]() ![]() Prophylaxis in the past: administration of 1% silver nitrate into the conjunctival sac immediately after delivery according to Credé ("creditation").treatment of the mother and her contacts.treatment currently recommended: ceftriaxone parenterally in a single dose.traditional treatment: penicillin systemically and locally.diagnosis: conjunctival smear culture (Gram-negative intracellular diplococci).complications: corneal damage → blindness.clinical picture: bilateral purulent discharge from the conjunctiva and swelling of the eyelids, usually the onset is within the first 24 hours of birth, but in a milder form may occur at any time in the first month of life.mother-to-newborn transmission through infected birth canals.The clinical picture in neonates Newborn gonorrhea conjunctivitis (c onjunctivitis gonorrhoica neonatorum) it is accompanied by fever, chills, arthritis, especially of the large joints, and hemorrhagic pustules on the acral parts of the limbs.it is occurs via hematogenous spread and gonococci disseminate to the skin, tendons, and joints.occurs in about 1% of infected individuals.complications: abscess of the periurethral glands, peritonitis, endocervicitis, endosalpingitis, endometritis, inflammatory diseases of the small pelvis, and infection may result in perihepatic adhesions (Fitz-Hugh-Curtis syndrome) or infertilityĭisseminated gonococcal infection.swelling of the cervix, inflammatory erosions of the cervix, discharge from the cervix (not from the vagina).symptoms are not usually acute, in 50% they are not recognized and become chronic (infection spreads in an ascending manner).edema and redness of the urethral orifice, purulent discharge, and burning when urinating.The clinical picture in women Urethritis the pain radiates along the cremasteric muscles.the epididymis is swollen, painful, stiff, and the scrotum is red.inflammation can become chronic or progress to the back of the urethra (forced urination, painful erections).complications - paraurethral inflammation, inflammation of the Littre glands, Cowper's glands.urethral discharge (first serous, then purulent), burning and cutting sensation when urinating, edema, and redness of the urethral meatus.The incubation period in women is usually more than 2 weeks (up to 75% remain asymptomatic). Also, vulvovaginitis, especially during pregnancy.ĩ0% of men develop urethritis within 5 days. It also affects newborns (conjunctivitis) and sexually abused children. Infections of the pharynx and anus are more common in homosexuals. Gonorrhea mainly affects young sexually active individuals: symptomatic infection is more common in men (gonorrhea is often asymptomatic in women). ![]()
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