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Gonorrhea cause
Neisseria gonorrhoeae, gram-negative diplococcus
Albert Neisser
discovered gonorrhoeae in 1879
Neisseria gonorrhoeae shape
coffee-bean shaped diplococci
gonorrhea meaning
flow of seed
gonorrhea incubation period
2-30 days
Gonorrhea transmission
person-to-person STI
Gonorrhea natural host
humans
Organisms needed for infection
1000
IgA protease
enzyme that helps gonorrhea evade immune system
Pilli
help bacteria adhere to mucosa membranes
Lipooligosaccharide
causes inflammation and tissue damage
Infection site in females
cervix, urethra, anal canal, and pharynx
Infection sites in males
urethra, anal canal, and pharynx
Symptoms in males
painful urination and pus discharge, 80-90% develop symptoms
Symptoms in females
many have few or no symptoms, with 50-80% asymptomatic
Complicatins in women
PID, infertility, ectopic pregnancy, chronic pelvic pain
Complications in men
epididymitis and possible infertility
Disseminated gonoccal infection
Spread of infection through the bloodstream causing fever, joint pain, skin lesions, or endocarditis
Gonorrhea diagnosis
Molecular probes, Gram stain, ELISA
First drugs to treat gonnorhea
sulfonamides
Antibiotics used after sulfonamides
penicillin
Antibiotics used now
cephalosporins
Prevention for gonorrhea
avoid sexual contact with infected individuals and practice protected sex, no vaccine is available