A man has sex with a woman on Saturday night.On Wednesday he notices dysuria,pyuria,and a urethral discharge.He goes to his doctor who orders a Gram stain of the discharge.The results of the Gram stain show 25 wbc/hpf,moderate gram-negative intracellular diplococci,and 3+ gram-negative diplococci.What is the mostly likely diagnosis?

Question

A man has sex with a woman on Saturday night.On Wednesday he notices dysuria,pyuria,and a urethral discharge.He goes to his doctor who orders a Gram stain of the discharge.The results of the Gram stain show > 25 wbc/hpf,moderate gram-negative intracellular diplococci,and 3+ gram-negative diplococci.What is the mostly likely diagnosis?

Quizplus · Accepted Answer

The incubation period for Neisseria gonorrhea from exposure to first symptoms is 2 to 7 days.In men,symptoms include urethral inflammation with dysuria,pyuria,and,in most cases,urethral discharge.The Gram stain is a sensitive,fast,and cheap tool for diagnosis of gonorrhea in men.Gram stain of the penile exudates shows characteristic and diagnostic gram-negative intracellular diplococci in granulocytes.In symptomatic men,the Gram stain has a sensitivity of 90% to 95% and the specificity is over 95%.

A Man Has Sex with a Woman on Saturday Night