Gonococcal Disease

Basics

Second most frequently reported sexually transmitted disease (STD) in the U.S.:
- Estimated 820,000 new cases per year
- <50% reported
- Highest rates in 15–24-yr-old males and females, as well as African Americans
- Increasing incidence in men who have sex with men (MSM):
  - Higher in HIV-positive individuals
- Humans only known host
Concurrent infection with Chlamydia trachomatis is common
Affects the urethra, rectum, cervical canal, pharynx, upper female genital tract, and conjunctiva
Urethritis most common presentation in men
Often asymptomatic in women

Neisseria gonorrhoeae:

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