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Pharyngeal gonorrhoea in homosexuals
This study found six cases of gonococcal pharyngitis in 106 homosexual men, highlighting the need to test for gonorrhea in non-ano-genital sites.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Public Health
Background:
- Gonorrhea is a common sexually transmitted infection.
- Traditional screening focuses on ano-genital sites.
- Emerging evidence suggests extragenital infections are prevalent.
Purpose of the Study:
- To determine the prevalence of gonococcal pharyngitis in a cohort of homosexual men.
- To assess the significance of non-ano-genital gonorrhea infections.
Main Methods:
- Prospective survey of 106 homosexual men.
- Collection of pharyngeal smears and cultures.
- Microbiological analysis for Neisseria gonorrhoeae.
Main Results:
- Six cases of gonococcal pharyngitis were diagnosed.
- This represents the largest reported series from England to date.
- Identified infection in a site remote from the ano-genital region.
Conclusions:
- Gonococcal pharyngitis is a significant concern in homosexual men.
- Current screening practices may overlook extragenital gonorrhea.
- Further investigation of non-ano-genital sites is warranted to understand gonorrhea prevalence.
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