What causes asymptomatic gonorrhea?
Most patients with gonorrhea have clinical manifestations, and only a few with mild or chronic infections may not exhibit obvious symptoms. Gonorrhea is caused by an infection with Neisseria gonorrhoeae, commonly known as gonococcus. It primarily manifests as a purulent infection of the urinary and reproductive systems, and can also lead to pharyngeal, rectal, and disseminated gonococcal infections. It has a short incubation period, is highly contagious, and can lead to various complications and sequelae. Gonorrhea is mainly transmitted through sexual contact, with the patient being the source of infection. In rare cases, it can be contracted through contact with secretions containing gonococci or contaminated items, such as clothing, bedding, towels, bathtubs, and toilet seats. Females, including young girls, due to the short length of the urethra and genitalia, are easily infected. It is often through shared family use of bath items and towels that infection occurs. Newborns can be infected through the birth canal of a mother with gonorrhea, leading to neonatal gonococcal conjunctivitis. Pregnant women infected with gonorrhea may transmit the bacteria to the amniotic fluid, potentially infecting the fetus.
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