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Urethral (male) or cervical (female) discharge and painful urination are the most common symptoms of gonorrhea....

Urethral (male) or cervical (female) discharge and painful urination are the most common symptoms of gonorrhea. What is the differential diagnosis of these symptoms? How would the responsible pathogen be determined?

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Answer #1

The other diseases that must be distinguished from gonorrhea or the differential diagnosis of Gonorrhea are

IN MEN we must ldistinguish from the conditions such as

  • Prostatitis
  • Orchitis
  • Testicular torsion
  • Non gonorrheal urethritis
  • Urinary tract infections

IN WOMEN

  • Urinary tract infections
  • Pregnancy
  • Endometriosis
  • Vaginitis
  • Cervicitis
  • Non gonorrheal urethritis
  • Bacterial vaginosis(Candidial vaginitis)
  • Trichomonas vaginalos infection

The responsible pathogen for the gonorrhea is Neisseria gonorrhoeae.It is a gram negative diplococci.

Gonorrhea is a common sexually transmitted disease

The pathogen can be identified by the following methods.

  • nucleic acid amplification testing (NAAT)
  • Bacterial culture (Grows in chocolate agar and Thayer martin medium)
  • microscopic analysis of the endocervical and urethral swabs (gram staining shows gram negaative diplococci)
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