Full Answer
A In women, the endocervical canal (inner portion of the cervix) is the usual site of original gonococcal infection, although urethral colonization and infection of Skene or Bartholin glands also are common. What is the primary site for uncomplicated local gonococci infections in men?
c.Ascent of gonococci is facilitated because the uterine contractions may cause retrograde menstruation into the fallopian tubes. d.Ascent of gonococci is facilitated because the bacteria may adhere to sperm and be transported to the fallopian tubes. LOOK UP - Answer was wrong in bank A
Small fluid-filled bumps on the skin: Many people with the arthritis-dermatitis syndrome form of disseminated gonococcal infection will develop skin findings. The most common skin finding is small fluid- or pus-filled bumps, usually located on the hands or feet. These bumps usually last three to four days and then disappear without treatment.
Among these factors are (1) disintegration of the cervical mucous plug and (2) a rise in vaginal pH greater than 4.5 during menstruation. Page 921 In women, what is the usual site of original gonococcal infection? a.Endocervical canal c.Fallopian tube b.Vagina d.Labia majora A
a.Ascent of gonococci is facilitated because the cervical plug disintegrates during menstruation.
Stage IV, tertiary syphilis, is the only stage during which significant morbidity and mortality occur, including destructive skin, bone, and soft-tissue lesions (see Box 26-2).
In women, the endocervical canal (inner portion of the cervix) is the usual site of original gonococcal infection, although urethral colonization and infection of Skene or Bartholin glands also are common.
T. pallidum is the only cause of syphilis.
Acute salpingitis, or pelvic inflammatory disease (PID), is the most common local complication in women. Approximately 10% of women with untreated cervical gonorrhea develop PID.
Bloodborne bacteria spread to all major organ systems during only stage II, secondary syphilis (see Box 26-2).
The coexistence of chlamydial infection with gonorrhea frequently occurs. No coexistence exists with the other options.
Disseminated gonococcal infection is a condition in which a common sexually transmitted organism, Neisseria gonorrhoeae, spreads through the bloodstream and causes a variety of systemic symptoms. Neisseria gonorrhoeae is the organism that causes gonorrhea, a sexually transmitted infection that causes pain with urination and purulent discharge from the urethra in men and from the vagina in women. In some people with untreated Neisseria gonorrhoeae infections (about 1-3% of people), the organism may spread through their bloodstream and cause disseminated gonococcal infection.
In the first type of presentation, called “arthritis-dermatitis syndrome,” people develop a combination of skin symptoms and pain in multiple joints and tendons.
Disseminated gonococcal infection symptoms. The symptoms of disseminated gonococcal infection usually occur two to three weeks after the genitourinary infection, although in most cases the initial genitourinary infection does not cause any symptoms.
This may be due to changes to the immune system during pregnancy that makes it more likely for Neisseria gonorrhoeae to spread.
In some people with untreated Neisseria gonorrhoeae infections (about 1-3% of people), the organism may spread through their bloodstream and cause disseminated gonococcal infection. Symptoms include joint and tendon pain, small fluid-filled bumps on the skin, fever, and chills. Treatment will involve antibiotics and possible drainage of joint fluid.
Disseminated gonococcal infection is a condition in which a common sexually transmitted organism, Neisseria gonorrhoeae, spreads through the bloodstream and causes a variety of systemic symptoms. Neisseria gonorrhoeae is the organism that causes gonorrhea, a sexually transmitted infection that causes pain with urination ...
The exact reason for this is unclear, but it may be due to changes in the woman’s body and in the Neisseria gonorrhoeae bacteria during menstruation that make the bacteria more likely to spread .
Gonorrhea is treated with two kinds of antibiotics. The recommended treatment is an injection of one antibiotic followed by a single pill of another antibiotic. If the injection is not available, you can take two types of antibiotic pills . This treatment also is effective against chlamydia.
Ask about your partner’s sexual history. Ask your partner whether they have had STIs. Avoid contact with any sores on the genitals. Get tested every year for chlamydia and gonorrhea if it is recommended for your age group.
This information is designed as an educational aid for the public. It offers current information and opinions related to women's health. It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. Read ACOG’s complete disclaimer.
Antibiotic: A drug that treats certain types of infections. Anus: The opening of the digestive tract through which bowel movements leave the body. Cervix: The lower, narrow end of the uterus at the top of the vagina. Chancre: A sore caused by syphilis that is found at the place of infection.
This sore is known as a chancre. Because this sore commonly occurs on the vulva, vagina, anus, or penis, syphilis most often is spread through sexual contact.
Secondary stage —If syphilis is not treated, the next stage begins as the chancre is healing or several weeks after the chancre has disappeared, when a rash may appear. The rash usually appears on the soles of the feet and palms of the hands. Flat warts may be seen on the vulva. There may be flu-like symptoms.
Chlamydia usually does not cause symptoms. When symptoms do occur, they may show up between a few days and several weeks after infection. They may be very mild and can be mistaken for a urinary tract or vaginal infection. The most common symptoms in women include. yellow discharge from the vagina or urethra.