gonococcemia, disseminated…

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circulatory system, gonococcal bacteremia, gonococcemia, disseminated, sexually-transmitted disease, bacterium neisseria gonorrhoeae, spreads, initial site of infection, the bloodstream to other parts, gonorrhea is one, the most commonly reported sexually transmitted infectious diseases, transmitted, vaginal, oral, anal intercourse, an infected woman, transmit the infection to her newborn, childbirth, gonorrhea in children older than newborns is always a sign of sexual abuse, gonorrhea, prevalent in those 15-29 years old who live in high-density urban areas, multiple unprotected sexual partners, risk factor, disseminated gonococcemia generally follows the primary genital infection, gonorrhea by several days to 2 weeks, infection spreads, primary site, the bloodstream, newborns, at increased risk, disseminated gonorrhea, fever, chills, malaise, joint pain, either single, multiple joints, knee pain, wrist pain, ankle pain, joint swelling, knees, wrists, ankles, skin rash, flat, pink-to-red spots that evolve into raised, pus-filled bumps, painful tendons of wrists, heels, of skin rash, aching, swollen tendons, tenosynovitis-dermatitis syndrome, blood culture, skin lesion culture, culture of synovial fluid from joints, urethral discharge culture, culture from endocervix, throat culture, anal culture, two aspects of treating a sexually transmitted disease, spread, gonorrhea, first aspect, cure the affected person, second, locate, the other sexual contacts, to treat them, prevent further spread, why mandatory reporting has been instituted, has, held the number of cases of gonorrhea at a low level, number of cases is once again rising, fluoroquinolone resistance in strains of gonorrhea has been increasing over the last 5 years, in hawaii, areas on the west coast, a new standardized treatment regimen has been recommended by the centers, disease control, cdc, the old penicillin treatment, gonorrhea is now treated by a large number of new, very potent antibiotics, ceftriaxone, cephalosporins, gonococcemia, treatment, begun, intravenous, rather than oral, antibiotics, chlamydia frequently occurs, gonorrhea, chlamydia, a follow-up visit after treatment to recheck cultures, confirm the cure of infection is important, outcome is expected to be good, compliance, therapy is maintained, gonococcal endocarditis, gonococcal meningitis, have symptoms suggestive of disseminated gonococcemia, abstinence, sure prevention, prevention consists of following safer sexual practices, monogamous sexual relations, a known disease-free partner is one good means of prevention, latex condoms protect against gonorrhea and other sexually transmitted diseases, the status of a partner, treatment of all sexual partners of a known infected person is essential, prevent further spread, reinfection.