Gonorrhea
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Related Key Words and Synonyms: Gonorrhea, Neisseria gonorrhoeae infection, clap, gonococcemia.
Overview
Epidemiology & Demographics
Risk Factors
Pathophysiology
History & Symptoms
Diagnosis
Lab Tests
Differentiating Gonorrhea from other Diseases
Treatment
Medical Therapy
Natural history, Complications, and Prognosis
In men, inflammation of the epididymis (epididymitis), prostate gland (prostatitis) and urethral structure (urethritis) can result from untreated gonorrhea.
In women, untreated gonorrhea can result in cyst and abscess formation in one or more of the greater vestibular glands (bartholinitis), causing trouble walking; PID; and Fitz-Hugh-Curtis syndrome.
The most common result of untreated gonorrhea is pelvic inflammatory disease, a serious infection of the female reproductive tract. PID causes scarring of the fallopian tubes which leads to increased risks of causing an ectopic pregnancy as a fertilized egg may not be able to pass through the narrowed, scarred fallopian tube. Ectopic pregnancies are serious conditions which are potentially life-threatening to the mother.
In both sexes, disseminated gonococcal infection (DGI) can occur, leading to multiple distant sites of infection which can include the brain, heart and joints.
When joints become involved, gonococcal arthritis can develop. Gonococcal arthritis occurs after primary infection of the genitalia, anus, or throat. This occurs in about 1% of patients who are infected with gonorrhea and is more common in women than men. Typical symptoms include a 5–7 day history of fever, shaking, chills, multiple skin lesions, fleeting migratory polyarthralgias and tenosynovitis in fingers, wrists, toes or ankles. This should be evaluated promptly with a culture of the synovial fluid, blood, cervix, urethra, rectum, skin lesion fluid, or pharynx. The underlying gonorrhea should be treated; if this is done then usually a good prognosis will follow.
Slang terms
"The clap"
Gonorrhea is also commonly known by the slang term "the clap". One suggested etymology refers to a traditional treatment used to clear the blockage in the urethra from gonorrheal pus, where the penis would be "clapped" on both sides simultaneously.[1] It could also refer to the painful sting in the male urethra, which feels like the sting of a clap (as in clapping hands) when infected with the disease. Yet another suggested source is from the old French word "clapier", meaning "brothel". Another suggested source for the term is from a notorious 18th century keeper of a brothel, Margaret Clap (better known as "Mother Clap"), though perhaps her name itself was derived from the slang term. This term has, in recent years, come to be used by extension to refer to any unspecified sexually transmitted disease.
References
External links
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Wikimedia Commons has media related to Gonorrhea. |
- Gonorrhea Support, Information, Pictures & Videos
- http://www.cdc.gov/ncidod/diseases/submenus/sub_gonorrhea.htm
- http://www.cdc.gov/std/
- http://wwwn.cdc.gov/travel/yellowBookCh4-STD.aspx
- Gonorrhea Symptoms and Pictures
- Centers for Disease Control and Prevention: Gonorrhea Information
- Drug-resistant gonorrhea on rise among gay men
- National Institute of Allergy and Infectious Diseases: Gonorrhea Factsheet
- MayoClinic.Com: Gonorrhea
- Gonhorrhea News & Treatment Information
- It's Your Health - Gonorrhea at Health Canada Retrieved 2 May, 2007.
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