Gonorrheal cervicitis The endomembrane of cervix can be the primary infection site in female patients except urethritis Symptoms are unobvious in more than 70% patients which causes an obscure latency In symptomatic cases, complaints includes increase or abnormality of vaginal discharge, purulent leucorrhea and itch at vulvae. Physical examination shows erosion, congestion and swelling of cervix with haphalgesia Increasing purulent leucorrhea can also be found
Gonorrheal Cervicitis The endomembrane of cervix can be the primary infection site in female patients, except urethritis . Symptoms are unobvious in more than 70% patients, which causes an obscure latency. In symptomatic cases, complaints includes increase or abnormality of vaginal discharge, purulent leucorrhea and itch at vulvae. Physical examination shows erosion, congestion and swelling of cervix with haphalgesia. Increasing purulent leucorrhea can also be found
Complicated gonococcal infection Simple gonorrhea combined with gonorrheal infection In other organs In male patients the complications include gonorrheal prostatitis, epididymitis, seminal vesiculitis, urethral stricture,balanitis, pararenal glands adenitis, Skene's gland adenitis, and so on In female patients, complications often present as bartholinitis, abscess of Bartholin gland, eustachian salpingitis, pelvic inflammation, abscess of ovary or fallopian tube oviduct, peritonitis, perihepatitis, and so on
Complicated gonococcal infection Simple gonorrhea combined with gonorrheal infection in other organs. In male patients, the complications include gonorrheal prostatitis, epididymitis, seminal vesiculitis, urethral stricture,balanitis,parafrenal glands adenitis、Skene's gland adenitis, and so on. In female patients, complications often present as bartholinitis, abscess of Bartholin gland, eustachian salpingitis,pelvic inflammation, abscess of ovary or fallopian tube oviduct,peritonitis,perihepatitis, and so on
Disseminated gonorrhea Gonorrheal bacteremia caused by dissemination of gonorrhea through blood Uncommon, mainly happens in female patients and homosexual male patients with no treatment because of unobvious symptoms In females, menses and pregnancy can be of higher risk of the dissemination The manifestations include fever, rash, arthralgia. The course can be divided into two phases, bacteremia and purulent toxic arthritis. The bacteremia phase is characterized by fever, chills, polyarticular gonorrheal arthritis and diagnostic rashes, including papulovesicle on erythema or with hemorrhage, blood culture of gonorrhea is positive in this phase. While in the phase of purulent toxic arthritis, one particular large joint is often involved, with obvious effusion but scarcely rashes or slight systemic symptoms, the blood culture is often negative
Disseminated gonorrhea Gonorrheal bacteremia caused by dissemination of gonorrhea through blood. Uncommon, mainly happens in female patients and homosexual male patients with no treatment because of unobvious symptoms. In females, menses and pregnancy can be of higher risk of the dissemination. The manifestations include fever, rash, arthralgia. The course can be divided into two phases, bacteremia and purulent toxic arthritis. The bacteremia phase is characterized by fever, chills, polyarticular gonorrheal arthritis and diagnostic rashes, including papulovesicles on erythema or with hemorrhage, blood culture of gonorrhea is positive in this phase. While in the phase of purulent toxic arthritis, one particular large joint is often involved, with obvious effusion but scarcely rashes or slight systemic symptoms, the blood culture is often negative
Acute gonorrheal urethritis
Acute gonorrheal urethiritis
Acute gonorrheal urethritis
Acute gonorrheal urethiritis