An endocervical swab was collected from a 26-year-old woman with a purulent discharge.The Gram stain revealed the following:
·Many white blood cells (WBCs)
·Moderate gram-negative diplococci
·Moderate gram-negative coccobacilli
·Few yeast
Based on these findings,what would be the next course of action?

Question

Quizplus · Accepted Answer

Because the normal vaginal and rectal flora are composed of gram-negative coccobacilli,which can resemble Neisseria spp. ,the direct examination of endocervical secretions in symptomatic women is the only presumptive evidence of gonorrhea;therefore the diagnosis must be confirmed by culture.

An Endocervical Swab Was Collected from a 26-Year-Old Woman with a Purulent