GONOCOCCAL INFECTION
The infecting organism is Neisseria Gonorrhoeae. A
gram negative
kidney shaped diplococcus which affects the urethra of
both sexes
and the cervix in the females.
2.1 Clinical Features
Gonorrhoea is purulent infection of the urethra and less
often of
the rectum and vigina
* Rarely it is met
with as conjunctivitis of the new born
* It presents most often with burning mucturition in the
male
followed by
discharge of yellowish
pus 2-10 days
after
intercourse with
an inffected person
* Infection may
also pass proximally
and cause prostatits
vesiculitis and
epidydimoorchitis in the male.
All these
sequelae bring the male patient to the surgical
out patients
department
* Damage of the
wall of the urethra may lead to
fibrosis and
urethral
stricture later.
* In women; the infection may lead to Salphingitis, cellulitis
and infection of Bartholins' glands: A late complication
is
sterility. Uncommon
late complications of
gonorrhoea are
synovitis and
arthritis.
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