A comprehensive overview of gonorrhea covering subjects as symptoms, diagnostics, research, causes and pictures
The incidence of disseminated infection closely correlates with the incidence of localized infection, caused by virulent strains able to determine the occurrence of local inflammatory signs. Most people who disseminated gonococcus infections are women (more than 65%); the gonorrhea bacteria symptoms occur most frequently during the menstrual period. Patients can have both signs of gonococci, as signs of purulent arthritis in one or more joints.
Gonorrhea bacteria begins with high fever, joint pain, skin lesions, necrotic skin lesions, some of these injuries are available at the extremities; the disease can symmetrically affect several joints - hands, fingers, knees and ankles; apparently joint symptoms were just due to the existence of circulating immune complexes, while complement factors plasma levels are almost normal.
In the absence of specific treatment, the disease can vary in duration of the manifestations; systemic manifestations often disappear after a week of evolution. Late, the patient may present septic arthritis, multiple joint pain or skin lesions; joint pain progressively gets worse, followed by accumulation of purulent synovial fluid leading to the gradual destruction of the joints - if it is not treated promptly.
We mention that individuals with deficiencies of the complement system, present an increased risk of developing gonorrhea bacteria and meningococcemia, they being not able to develop a serum bactericidal response that is effective against Gonococcus infections. Deficiency of complement factors is more pronounced in individuals presenting gonorrhea bacteria or recurrent episodes of meningococcemia, compared with those who are in the first episode of acute infectious; is likely that these strains that affect people with deficiencies of complement system to be largely sensitive to human serum.
After two days of evolution of the disease, the odds of detecting pathogens in the blood plasma are becoming smaller; not the same thing happens in the synovial fluid, the probability of detecting the pathogen in the secretions, being as higher as the duration of the disease increases. Gonococci rarely can be isolated from exudates that contain a small number of leukocytes, but in many cases they can be isolated from the recent exudates, which contain a large number of leukocytes. In very few cases, the incriminated pathogens can be isolated simultaneously from blood and synovial fluid.
Gonococcus infection can cause other manifestations, unusual - miopericardita, toxic hepatitis, endocarditis and pericarditis (rare but very serious complications). Alarming signs of endocarditis are the major embolic phenomenon, and deterioration of renal function or appearance of a growing number of skin lesions.
It may be taken measures to reduce the risk of gonorrhea bacteria infection or other sexually transmitted diseases (STDs). It can also be reduced the risk of gonorrhea transmission to sexual partner.
Practicing safe sex. Preventing an STD is easier than treating it once appeared. Talk to your partner about STDs before beginning a sexual relationship. You must found if he or she has an increased risk of STDs. Do not forget that the disease can exist even if there are no symptoms. Some STDs, like AIDS, can evolve within 6 months to develop the signs of infection in the blood. Maintaining a sexual act is an act of responsibility.
Therefore you must avoid having sex in the case of STD or during treatment for an STD. Avoid sex with someone who is suffering from an STD or could have been exposed to an STD. It is not indicated maintenance of sex with many partners at the same time, because it increases the risk of STDs. If group sex was practiced in recent years, or gay relationships gender, it should be conducted screening for gonorrhea or other STDs, even if there are no symptoms
Condom use. It reduces your risk of STDs, especially of gonorrhea, and HIV infection Chlamydia. Condoms should be put before starting the intercourse. In the cases of changing the partner you must use a condom at each sexual contact until you know with certainty that the new partner has no STDs. Condoms can be used both for women and men. Even if women use other methods of contraception it can be used a condom for STD prevention. Female condoms are used when the partner does not use a condom.