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Gonorrhoea - Management
What else might it be?
- Men
- Other causes of penile discharge, including:
- Non-gonococcal urethritis caused by Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma genitalium, or Trichomonas vaginalis (see the CKS topic on Urethritis - male).
- Physiological discharge (small amounts of clear or mucoid discharge upon sexual excitement).
- Subpreputial infection (for example candidiasis).
- Acute prostatitis — may present with: blood-tinged urethral discharge; dysuria, frequency, and urgency; fever; or penile, perineal, and rectal pain. The prostate is swollen and tender.
- Herpes simplex virus infection — can present with herpetic lesions on the urethral meatus.
- Women
- Chlamydia. It is not possible to distinguish gonorrhoeal infection from chlamydia in women by clinical features alone, and the infections coexist in about a third of women.
- Other causes of vaginal discharge.
[Adler, 2004; Handsfield and Sparling, 2005; GRASP Steering Group, 2007]
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