Wednesday, June 26, 2013

GONORRHEA


GONORRHEA
Definition
All diseases caused by Neisseria gonorrhoeae, a gram negative 

  diplokokus
Generally about :
      -          Urethral
      -          Endocervical
      -          Rectum
      -          Pharyngeal
      -          Conjunctiva
hematogenous spread:
DIG (Disseminated Gonococcal Infection)


Gonorrhea Attack
Men
- Urethra
- Ex tyson
- Ex Cowper
- Ex parauretra
- Prostate
- The epididymis
- Testis
- Conyunctiva
- Larinks
- Pharinks
- rectum

Women
- cervix
- Bartholin
- Ex skein
- Salphinx
- Ovary
- Pid
- Joints
- Septicemia
- Pericard
- disseminated

Etiology
Gram negative
Intracellular
Diplokokus
 

Epidemiology
350 million people are infected each year
Gonorrhea 60%
Infection mixture
Developed countries Chlamydia> Gonorrhea
Cofaktor HIV / AIDS.
The received treatment and recovered about 10%

Pathogenesis
Adhesions (pili and surface proteins)
Epithelial cells penetrate the network.
Pmnl
Micro abscess
Deployment

Clinical
incubation 2-5 day

Clinical Symptoms :
Infection in men
anterior urethra
- Test thompson
Complaints disuri, urethral discharge
Mucus turbidity until pus


Examination
Mue: edema, erythema, ectropion, purulent discharge

Infection in women
60-80% asymptomatic.
Complaint :
vaginaldischarge
Disuri
intermenstrual bleeding
Menorrhagia
Back pain

Diagnosis
Anamnesis, clinical, laboratory
Laboratory
- Cat Gram duh body
- Culture: Thayer martin / modifications TM
- Definitive test (test oxidase, Fermentase)
- Test NGPP (Beta Lactamase, Yodometri, Penicillin disk Difusion, Thomson Tests
- Elisa
Men : materials from the body duh urethra / sed.urine / massage prostate secretions
Women : material from the urethra, srviks, estuaries kel.bartholin, rectum

Complication
Men

Tisonitis
Parauretritis
Cowperitis: pain in the perineum, disuri
Infection post urethra
vesica urinaria : polakisuri, hematuri
prostatitis : pain in the perineum, feels pain when defecating, febrile
Vesikulitis
Funikulitis
Epididymitis: febrile, edema, scrotal skin inflammatory signs (+)
Infertility

Women
Bartholinitis: labium Mayus edema (tu. third bottom),  

  signs of acute inflammation
PRP scarring, tubal infertility
salpingitis
Disseminated: Arthritis, myocarditis, endocarditis, pericarditis,

   meningitis and dermatitis

Therapy
Consider, effectiveness, single dose, side effects, site of infection, resistance, the possibility of infection of C. trachomatis simultaneously

Anogenital Infection, Complications (-)
First-Line

Cefixime 400 mg/single dose oral

Second-Line
Ciprofloxacin* 500mg/oral single dose
Ofloxacin* 400mg/oral single dose
Spektinomisin 2g single dose intra-muscular

*) Is not recommended in children / adolescents

 
 


3 comments:

  1. Thanks to Dr. James for his Marvelous work in my life, I was diagnosed with HERPES SIMPLEX VIRUS since 2017 and I was taking my medications, I wasn't satisfied i needed to get the HERPES out of my system, I searched about some possible cure for HERPES i saw a comment about Dr. James, how he cured HERPES with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine within 3 days. I took the medicine as prescribed by him and 2weeks later i was cured from HERPES contact him via email (drjamesherbalmix@gmail.com) once again thanks to you Dr. James cure the flowing virus, contact his email or add him on whatsapp (+ 2348152855846)
    vaginal cancer, epilepsy, Anxiety Disorders, Autoimmune Disease, Back Pain, Back Sprain, Bipolar Disorder, Brain Tumor, Malignant, Bruxism, Bulimia, Cervical Disk Disease, cardiovascular disease, Neoplasms, chronic respiratory disease, mental and behavioral disorder, Cystic Fibrosis, Hypertension, Diabetes, asthma, Inflammatory autoimmune-mediated arthritis. chronic kidney disease, inflammatory joint disease, back pain, impotence, feta alcohol spectrum, Dysthymic Disorder, Eczema, skin cancer, tuberculosis, Chronic Fatigue Syndrome, constipation, inflammatory bowel disease, bone cancer, lungs cancer, mouth ulcer, mouth cancer, body pain, fever, hepatitis ABC, syphilis, diarrhea, HIV / AIDS, Huntington's Disease, back acne, Chronic renal failure, addison disease, Chronic Pain, Crohn's Disease, Cystic Fibrosis, Fibromyalgia,

    ReplyDelete
    Replies
    1. HOW I GOT RID OF HERPES SIMPLEX VIRUS BY DR ISHIAKU

      I want to inform the public how I was cured of herpes simplex Virus by a herbal Dr called ISHIAKU. I visited different hospitals but they gave me a list of drugs like Famvir, Zovirax, and Valtrex which are very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedies on Herpes and I saw comments of people talking about how dr ishiaku cured them. I Was scared because I never believed in the Internet but I was convinced to give him a try because I had no hope of being cured of herpes so I decided to contact him on his email, i searched his email on the net and I saw a lot of people testifying about his goodness. When I contacted him he gave me hope and sent a Herbal medicine to me that I took and it seriously worked for me, am a free person now without any problems, my HERPES result came out negative. You can contact him on his what - sapp him via (+2348180828544) or email ishiakuherbalcure@yahoo.com and get all your problems solved.

      Delete
  2. To know more about Chief Dr Lucky you can visit his website (https://chiefdrluckyherbaltherapy.wordpress.com/)

    A friend that suffered from Herpes and was cure with the help of this great herbal doctor (Chief Lucky) so i decided to contact him for help in getting rid of my families genital herpes virus 1/2 which i did and all i was told to provide was just some useful information and some materials used in preparation of the natural cure and that i did and now i am the happiest person on earth because i am writing this testimony of mine with joy and happiness in my heart to the whole world to know that natural remedy is real because i am a living testimony of Chief Lucky traditional herbal cure and i want you all to contact Chief Lucky via his email: chiefdrlucky@gmail.com or WhatsApp him +2348132777335 am sure he will help you too.

    ReplyDelete