A Case of Persistent and Possibly Treatment Resistant Pharyngeal Gonorrhea
Vivian Levy1, Mark Pandori, Zenda L Berrada
1From the *San Mateo County Health System, San Mateo, CA; †Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA; ‡San Francisco Department of Public Health, San Francisco, CA; and Departments of §Obstetrics, Gynecology and Reproductive Sciences and ¶Family and Community Medicine, University of California, San Francisco, San Francisco, CA.
Abstract:
An HIV-negative man with pharyngeal gonorrhea had a positive test-of-cure (nucleic acid amplification test) result 7 days after treatment with ceftriaxone/azithromycin. Neisseria gonorrhoeae Multi-Antigen Sequencing Type 1407 and mosaic pen A (XXXIV) gene were identified in the test-of-cure specimen, and culture was negative. Retreatment with ceftriaxone 500 mg intramuscularly plus azithromycin 2 g orally yielded a negative test-of-cure result.
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