What is the appropriate treatment(s) for the disease/disorder discribed below?
A 30 year old woman visited her family physician complaining of painful urination and a bloody vaginal discharge. Vaginal swabs and urine both revealed aerobic, slightly bean-shaped, gram negative diplococci.
This shows gonorrhea disease. This is caused by gram negative aerobic bacteria from family Neisseriaceae. The genus Neisseria consists of two bacteria called Neisseria gonorrhoeae and Neisseria meningitidis. Gonorrhea is a sexual transmitted disease and is caused by sexual contact by infected vagina and penis. This disease affects the mucous membranes of the urethra and endocervix in the female, resulting in a discharge of pus and difficulty in urinating. Neisseria gonorrhoeae is a gram negative bacteria. In females endocervical infection is most common. This infection is characterized by vaginal discharge. The bacteria sicks to epithelial cells, penetrate them and multiply. A infected mother can pass this disease to her new born during childbirth.
This disease is treated by use of ceftriaxone and spectinomycin antibiotics. There are several antibiotics which can treat gonorrhoea. It is important to take all medications. Doxycycline is also used as a common medicine. Ciprofloxacin and ofloxacin are not recommended due to high rates of resistance.