Gonococcal and Chlamydial Infections in a Pregnant Woman
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.