A 28-year-old woman was admitted to a Wisconsin hospital with a 1-week history o
ID: 71855 • Letter: A
Question
A 28-year-old woman was admitted to a Wisconsin hospital with a 1-week history of arthritis of the left knee. Four days later, a 32-year-old man was examined for a 2-week history of urethritis and a swollen, painful left wrist. A 20-year-old woman seen in a Philadelphia hospital had pain in the right knee, left ankle and left wrist for 3 days. Pathogens cultured from synovial fluid or urethral culture were gram-negative diplococci that required proline to grow. Antibiotic sensitivity tests gave the following results: What is the pathogen, and how is this disease transmitted? Which of the antibiotics should be used for treatment? What is the evidence that these cases are related?Explanation / Answer
The above conditions indicates towards Gonorrhea caused by Neisseria gonorrhoeae and is a sexually transmitted disease and spreads through vaginal, anal, or oral sex with someone who has gonorrhea
Earlier the Penicillin and Tetracycline were widely sued, now antibiotics recommended for treating gonorrhea include ciprofloxacin, spectinomycin and third-generation cephalosporins such as ceftriaxone and cefixime.
The patients came to the hospital were having arthritis in their joints and one patient with urethritis.
The Neisseria gonorrhoeae can cause gonococcal arthritis and is an infection of a joint, affects women more often than men. Pain is observed usually large joints such as the knee, wrist, and ankle. Gonococcal urethritis is a condition where infection-induced inflammation of the urethra is seen.
Based on the above symptoms shown by the patient we can say it is gonorrhoeae cause by Neisseria gonorrhoeae.
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