Question
Drug of choice for the disease produced by the micro-organism shown in photomicrograph below is/are ?
A. Amoxycillin.
B. Ciprofloxacin.
C. Ceftriaxone with Azithromycin.
D. Metronidazole.
Show Answer
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Correct Answer » C
Explanation
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Ans:C. Ceftriaxone with Azithromycin
The micro-organism shown in the photomicrograph above represents Neisseria gonorrhoeae.
Gonorrhea
- Gonorrhea is a purulent infection of the mucous membrane surfaces caused by Neisseria gonorrhoeae.
- N. gonorrhoeae is spread by sexual contact or through transmission during childbirth.
- Morphology: Gram-negative intracellular diplococci that typically appear in pairs with the opposing sides flattened (a “kidney bean” appearance).
Management:
- For uncomplicated urogenital, anorectal, and pharyngeal gonococcal infection, a drug regimen using ceftriaxone plus either azithromycin or doxycycline may be used.
Medications used:
- Antimicrobial drugs used alone or in various combinations with other gonococcal infections include the following:
- Gonococcal conjunctivitis:
- Gonorrhea contributing to PID:
- Cefoxitin, ceftriaxone, doxycycline, metronidazole, cefotetan, clindamycin, gentamicin
- Disseminated Gonococcal infection:
- Ceftriaxone, cefotaxime, ceftizoxime
- Gonococcal meningitis and endocarditis:
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