male was brought to the emergency room by his sister. He gave a 24-history of dy
ID: 3517724 • Letter: M
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male was brought to the emergency room by his sister. He gave a 24-history of dysuria and noted clear and urine culture some pus-like drainage in his underwear and the tip of his penis. Urine appeared as negative, although urinalysis was positive for leukocytes and multiple white negative cells were seen on microscopic examination o or six partners had not had f urine. He gave a history of being sexually active with five any sexually transmitted diseases. His physical exam showed urethral ness at the tip of the penis. A Gram stain of the discharge was performed in the wed gram negative diplococci. He was given antimicrobial agents and emergency room and scheduled for a follow-u exual partners to th the partners, a 15-y over the last six months, developed fever, shaking, chills, and lower abdominal pain. sho p visit 1 week later. He was asked to provide the names and addresses of his eard female who reported having sexual relations with her boyfriend frequently was asymptomatic until 2 days before coming to the hospital when she e Health Department. So they could be examined and treated if necessary. One of Her symptoms worsen ed and she of 42e C, generalized abdominal pain, and a swollen right knee. Her last menstrual eek before admission and described as normal. Physical examination indicated a tender rgidity. The right knee was red, hot, tender, and swollen. Pelvic examination showed the cervix. Cervical smear showed extracellular and intracellular gram- some white discharge from negative diplococci. Blood analysis showed a white cell count of 26,000, 1. What is the disease in the male? 2. In the female? 3. What is the causative agent? 4. How does it enter the body? 5. How does it spread in the body and from person to person? 6. How many people does the CDC estimate to have this disease yearly? 7. What is the host response to the organism? 8. What is the typical clinical presentation? 9. What caused her knee to be inflamed? 10. How is the disease diagnosed and what is the differential agar analysis? 11. How is the disease managed and prevented?Explanation / Answer
Ans 1...the disease in male is Gonorrhea.it is a sexually transmitted disease.The multiple discharging sinuses is a condition called Watercan perineum.
Ans 2..In the female ,it is the same Gonorhrhae...as we have already discussed it is a sexually transmitted disease.
The severe form of disease in both male and female is known as DGI(Disseminated gonococcal infection)
Ans 3...The causative organism is Neisseria gonorrhaea.it is gram negative dipllovoccus bacteria which appears like beans or kidney on gram staining.
Ans 4..The disease is acquired by sexual contact.the first step in infection is adhesion of gonococci to the mucosal surfaces or urethra.adhesion is rapid and firm so that micturition after infection offers no protection against infection.the cocci penetrate through the intercellular spaces and reach the sub epithelial connective tissue by third day of infection.the incubation period is 2 to 8 days.
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