Abstract
Sarah, a 17-year-old woman, who is 14 weeks' pregnant attends a Sexual Health clinic as a sexual contact of a man with proven urethral gonorrhoea and chlamydial infection. She has noticed some increased vaginal discharge, but she is otherwise symptomless. For the past 6 months she has been in a relationship with the man who is her first and only sexual partner. He had had unprotected oral and vaginal sex with a woman from London about 3 weeks previously, and he had vaginal intercourse with Sarah 1 week later. At that time he was symptomless. She has documented hypersensitivity to penicillin, having had an anaphylactic reaction after receiving penicillin for the treatment of a dog bite several years previously.
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Notes
- 1.
A single oral dose of 1Â g of azithromycin is used for the treatment of genital chlamydial infection. This dose, however, has not been shown to be very effective in the treatment of gonorrhoea.
- 2.
If a test of cure is undertaken, this should be performed at least 72Â h after completion of antimicrobial therapy. As cure of infection of the pharynx is less certain than infection of the genital tract or anorectum, at least one test of cure should be performed if gonorrhoea is identified at this anatomical site.
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© 2009 Springer-Verlag London
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McMillan, A. (2009). Gonococcal and Chlamydial Infections in a Pregnant Woman. In: Sexually Transmissible Infections in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-84882-557-4_28
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DOI: https://doi.org/10.1007/978-1-84882-557-4_28
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