How to diagnose and treat a patient with AIDS who also has gonorrhea?

Written by Xiong Hong Hai
Infectious Disease
Updated on September 23, 2024
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Patients with AIDS who are also infected with gonorrhea need simultaneous treatment and management. If the AIDS is still in its early stage and the CD4 cells are in a high state, gonorrhea can be treated first, as its treatment is relatively straightforward, primarily involving the use of potent antibiotics. Usually, a course of treatment lasting about one to two weeks can essentially cure it. After curing gonorrhea, anti-HIV treatment can be administered, which tends to be more effective. Both gonorrhea and AIDS are sexually transmitted diseases and can easily co-infect.

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Written by Liu Gang
Dermatology
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What will happen if gonorrhea is not treated?

In general, gonorrhea will not heal on its own if left untreated, and symptoms may gradually worsen. In men, it can cause gonococcal infection of the scrotum, while in women, it may lead to pelvic inflammatory disease or adnexitis and other gynecological diseases. Once diagnosed, it is advisable to seek treatment in the dermatology or urology department of a standard hospital. With proper treatment, the disease can be completely cured. Avoid delays in seeking treatment. During treatment, avoid sexual contact, alcohol consumption, drink plenty of water, exercise regularly, and avoid bathing or swimming in public pools. Undergarments should be sun-dried and sterilized, and avoid sharing bath towels or washbasins for washing clothes with family members.

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Written by Zou De Bo
Urology
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Is urethritis gonorrhea?

Urethritis is not necessarily gonorrhea. Gonorrhea is a sexually transmitted disease primarily characterized by pus-forming infections of the urinary and reproductive systems caused by Neisseria gonorrhoeae. Acute urethritis can be divided into bacterial urethritis, gonococcal urethritis, and non-gonococcal urethritis, which are a broad category of diseases. Therefore, gonorrhea can have the clinical symptoms of acute urethritis and is a type of acute urethritis. If it is gonococcal urethritis, it should be treated as such, while non-specific urethritis should be treated as non-specific urethritis.

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Written by Luo Hong
Dermatology Department
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Gonorrhea testing methods

The methods for detecting gonorrhea generally fall into two main categories. One involves testing for the pathogen of gonorrhea. A simple method is the microscopic examination of Neisseria gonorrhoeae, which can be seen under a microscope as Gram-negative diplococci. Another method is the cultivation of Neisseria gonorrhoeae, although culturing with medication can occasionally result in false negatives. A more advanced and accurate method is PCR (Polymerase Chain Reaction), which involves using a urethral swab to detect the DNA of Neisseria gonorrhoeae. Currently, this is considered the most sensitive and accurate method available.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Is vestibular adenitis the same as gonorrhea?

Bartholin's gland inflammation is not limited to gonorrhea; these are two different diseases. Bartholin's gland inflammation refers to the condition where pathogenic microorganisms enter the Bartholin's glands through their external openings, causing inflammation of these glands. Gonorrhea, on the other hand, is a sexually transmitted disease caused by a specific pathogenic microorganism, primarily transmitted through sexual contact. These two are not equivalent; therefore, they require different treatments.

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Written by Zhai Yu Juan
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The discharge from gonorrhea is what color?

Gonorrhea is a sexually transmitted disease caused by the infection of Neisseria gonorrhoeae, also known as gonococcus, primarily manifesting as purulent infections of the urinary and reproductive organs. The main route of transmission for gonorrhea is through sexual contact, but it can also be transmitted through close living contact and from mother to child. The clinical symptoms of gonorrhea vary; symptoms in males are typically more pronounced, including frequent urination, urgent urination, painful urination, and redness and swelling at the urinary opening, which may exude yellow purulent discharge. In females, the symptoms of gonorrhea are generally milder, commonly affecting the cervix and vagina with mucous secretions initially, which may later become purulent, often without significant noticeable symptoms.