![]() ![]() In 2014, doctors in England identified a case of gonorrhea that required a second round of the dual-treatment using increased dosages. Though the man in England had an especially persistent case of gonorrhea, this is far from the first time resistance to azithromycin and ceftriaxone has appeared on experts’ radar. Unfortunately, Neisseria gonorrhoeae bacteria is particularly “smart.” It has become so resistant to nearly every antibiotic ever used to treat it that the CDC only has one recommended treatment option now-that ceftriaxone and azithromycin combination-down from five in 2006. They are, however, worried it may just be the start of a rise in gonorrhea that’s harder than ever to treat. Public health experts have been vigilantly monitoring antibiotic-resistant gonorrhea, so this case in England doesn’t surprise them. “This is the first time a case has displayed such high-level resistance to both of these drugs,” Gwenda Hughes, Ph.D., head of PHE’s STI Surveillance Section and the Gonococcal Resistance to Antimicrobials Surveillance Programme (GRASP), said in a statement. ![]() The issue was that it was also resistant to the ceftriaxone he’d already gotten. When they tested the man’s strain of gonorrhea in a lab, they found that it was highly resistant to azithromycin. In light of a trend in azithromycin-resistant gonorrhea following an outbreak that started in 2014 that experts in the United Kingdom have been closely monitoring, a doctor could potentially decide to immediately administer ceftriaxone while testing the gonorrhea strain to see if it’s even worth trying the azithromycin as well.) (Though the national guidelines recommend using both antibiotics, the course of treatment in each case is based on clinical judgement, which may be informed by other factors. The only sign of throat gonorrhea, which the man had in addition to gonorrhea of the genitals, is a sore throat.Īfter the man presented with symptoms and tested positive for gonorrhea, doctors gave him a shot of ceftriaxone, one of the two standard gonorrhea drugs, while they lab-tested different antibiotics on an isolate of the strain. Rectal gonorrhea infections don’t always cause symptoms either, but if they do, signs can include discharge, itching, soreness, bleeding, and pain during bowel movements. (It’s easy to mistake these symptoms for a vaginal or bladder infection, according to the CDC.) If you have a penis, you might deal with burning while peeing, white, yellow, or green discharge, and less commonly, painful or swollen testicles. If you have a vagina, gonorrhea can cause pain or burning while you pee, increased vaginal discharge, and bleeding between periods. Neisseria gonorrhoeae bacteria, which can infect the throat, genitals, or rectum, often doesn’t cause symptoms at all, but sometimes it can. The patient, who had a female sexual partner in the United Kingdom and also had a sexual encounter with a woman in southeast Asia one month before he started experiencing symptoms, went in for an STI screening in early 2018. ![]()
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