Gonococcal Disease

Basics

Description

  • 2nd most frequently reported sexually transmitted disease (STD) in the US:
    • Estimated 648,056 new cases in 2022
    • Likely much higher due to underreporting
    • Highest rates in 20–24-yr-old males and females, 9-fold in African Americans
    • Increasing incidence in men who have sex with men (MSM):
      • Associated with HIV acquisition
  • 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

Etiology

Neisseria gonorrhoeae:

  • Gram-negative aerobic diplococci

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