Case Study
The patient is a twenty-three-year-old female with the chief complaint of severe hypogastric pain (pain of the lower abdomen) and emesis (vomiting). Medical history includes a diagnosis of gonorrhea last year, and her partner tested positive for N. gonorrhoeae (Neisseria gonorrhoeae) just hours ago. The patient’s cervical smear results are positive for N. gonorrhoeae and other bacteria.
Manifestation of gonorrhea in men and women
In both men and women gonorrhea suffers may not show any manifestations at all (asymptomatic). In men if manifestations exist they can include; dysuria (pain and or burning upon urination) with or without a white, green, or yellow discharge. Urination may increase (diuresis), the urethra can be swollen and inflamed (urethritis) along with the testicles, and irritation of the throat (gonococcal pharyngitis). In women if manifestations exist they can include; dysuria, gonococcal pharyngitis, and dyspareunia (pain resulting from intercourse). If the N. gonorrhoeae bacteria has made it to the fallopian tubes symptoms may include pyrexia (fever), and hypogastric pain. In both men and women if the N. gonorrhoeae spreads to the blood stream symptoms include pyrexia, skin irritation, pain and inflammation of the joints, and an abnormal …show more content…
gonorrhoeae bacteria migrates to the uterus and or the fallopian tubes causing inflammation and scarring of their lining (peritonitis). Once the migration, inflammation, and scarring occurs the illness is called Pelvic inflammatory disease (PID). If PID develops the patient may develop abscesses to both the tubes and uterus, tubal infertility, or the formation of a fetus outside of the uterus (ectopic pregnancy). N. gonorrhoeae bacteria is the causes nearly half of known PID incidences (2). With the previous diagnoses of gonorrhea and severe hypogastric pain, infertility is a likely complication for the