Coinfection of gonorrhea and chlamydia trachomatis: A case report
Keywords:
Gonorrhea, chlamydia, coinfectionAbstract
Gonorrhea (GO) is the most common sexually transmitted infection (STI) caused by Neisseria gonorrhoeae (NG). In Indonesia, the GO sequence is the highest of STI diseases. GO in men can cause urethritis, while women are usually asymptomatic. Chlamydia is caused by Chlamydia trachomatis bacteria. Men infected with Chlamydia typically present with urinary tract inflammation, fever, penile discharge, and severe testicular pain. Male urethritis is a coping disease that presents purulent or mucopurulent discharges through the urethra, sometimes accompanied by dysuria. Gonorrhea urethritis is the most common venereal disease today and can be found worldwide. Timely treatment and choosing the right medicine at the right dose can eliminate the infection, prevent complications, prevent further spread, and avoid the development of drug resistance. We reported a case of gonorrhea urethritis in a 25-year-old man with a complaint of yellow-whitish discharge from the opening of the penis. The diagnosis was established based on the Gram staining, culture, PCR tests. The patient was treated with azithromycin and cefixime, resulting in clinical improvement. ÂReferences
Odelia D. Pengetahuan Mahasiswa Kedokteran UNS Tahun Angkatan 2018 Mengenai Gonore dan Pencegahannya. 2019.
Pérez Gracia MT, Suay GarcÃa BJS, Sunit Kumar. Diagnostics to Pathogenomics of Sexually Transmitted Infections. Gonorrhea. 2019.
Strowd LC MS, Pichardo RO. Gonorrhea, Mycoplasma, and Vaginosis. In: Kang S AM, Bruckner AL, enk AH, Margolis DJ, McMichael AJ, et al., editor. Fitzpatrick's Dermatology. 9 Th ed. New York: McGraw-Hill; 2019. p. p. 3207.
Hook EW I, Handsfield HH. Gonococcal Infections in the Adult. In: Holmes KK SP, Piot P, Stamm WE, Wasserheit JN, Corey L, et al., editor. Sexually Transmitted disease. 4 Th ed. United States: McGraw-Hill; 2007. p. p. 627.
Fitriany NN, Ibnusantosa RG, Respati T, Hikmawati D, Djajakusumah TSJJIK, Sains. Pengetahuan tentang Dampak Infeksi Gonore pada Pasien Pria dengan Gonore. 2019;1(1).
Choudhri Y, Miller J, Sandhu J, Leon A, Aho JJCCDR. Sexually transmitted infections: Gonorrhea in Canada, 2010–2015. Can Commun Dis Rep. 2018;44(2): 37–42.
Murlistyarini S, Prawitasari S, Setyowatie L. Intisari Ilmu Kesehatan Kulit dan Kelamin: Universitas Brawijaya Press; 2018.
Diarti MW, Tatontos. Pengaruh Lama Waktu Inkubasi Terhadap Morfologi Bakteri Neisseria gonorrhoeae. 2020;7(2):36-41.
Holmes KK SP, Stamm WE, Piot P, Wasserheit JN, Corey L, et al. Sexually Transmitted Diseases. 4 Th ed. United States: McGraw-Hill Education; 2007.
murtiastutik D, Septiana Widyantari, dan hans Lumintang. Infeksi ginjal non spesifik. 2017:88-102.
Kinghorn GJRstod. Syphilis and bacterial sexually transmitted infections. 2010;1:1-37.
Rosen TJFsdigmteNYMGH. Gonorrhea, Mycoplasma, and vaginosis. 2012:2514-9.
Pramanayudha. Uji Aktivitas Antibakteri Senyawa Kitosan terhadap Neisseria gonorrhoeae yang diisolasi dari Pasien dengan Penyakit Infeksi Seksual secara In Vitro.4(3).
Hidayani WR. Infeksi Menular Seksual (Ims) Dan Lesbian, Gay, Biseksual Dan Transgender (LGBT): Epidemiologi Dan Pengetahuan Siswa Sma. 2021.
Urip U, Jiwintarum YJQJK. Variasi Suhu Terhadap Pertumbuhan Neisseria Gonorrhoeae Pada Media Coklat Agar Plate. 2017;11(2):74-7.
Wahdah RA, Setyowatie L, Aslam ABNJMKF. Pengaruh Tingkat Pengetahuan Hubungan Seksual Berisiko Tinggi Terhadap Kejadian Infeksi Gonore Di RSUD Dr. Saiful Anwar Malang. 2021;7(4):251-62.
Wilson M, Wilson P. Close Encounters of the Microbial Kind. 2021.
Young A, Toncar A, Wray AAJS. Urethritis. 2020.
Whitford K, Callander D, Smith LW, Guy R, Kong M, Ward J, et al. Two distinct gonorrhea trends and risk factors among women in Australia. 2020;47(1):34-40.
Lewis DA. Gonorrhea. Hunter's Tropical Medicine and Emerging Infectious Diseases: Elsevier; 2020. p. 524-7.
Khariri K, Amalia N, Nursofiah S, Rachmawati F, Muna F, Litbangkes YR-B, et al. Deteksi Clamydia trachomatis (CT) dan Neisseria gonorrhoeae (NG) pada Kelompok Berisiko Tinggi di Beberapa Provinsi di Indonesia Menggunakan Cobas 4800 CT NG Test. 2020;7(1).
Dresser J, Wilby KJJAoP. Safety of Single-Dose Oral Cefixime, Intramuscular Ceftriaxone, or Intramuscular Gentamicin for the Treatment of Gonorrhea: A Systematic Review and Meta-analysis. 2021;55(7):914-20.
Wijanarko. Infeksi, Rekomendasi Terapi, dan Resistensi Gonore. 2019;46(8):511-5.