Gonorrhea

 What is Gonorrhea? 
         Definition of Gonorrhea is an infectious disease caused by the bacteria Neisseria gonorrhoeae and have clinical signs such as discharge of urethral pus or purulent discharge after sexual intercourse or sexually transmitted disease (STD).  Meanwhile, according to Dorland's medical dictionary, gonorrhea is an infection caused by nisseria gonorrhoeae is transmitted through sexual intercourse in most cases, but also by contact with infected exudates in the neonate at birth.


Gonorrhea urethral pus or purulent discharge
Urethral Pus or Purulent Discharge

         Gonorrhea in broad terms, includes all diseases caused by Neisseria gonorroheae that infects the lining of the urethra, cervix, rectum, throat, and conjunctiva. Gonorrhea can spread through the bloodstream to other parts of the body, especially the skin and joint. In women, gonorrhea can spread to the genital tract and infect the lining in the hips causing hip pain and impaired reproduction.

       This disease primarily affects the urinary genital tract. However, contamination of the baby, at birth can cause eye gonococcal meningitis, which affects the eyes. Can also arises various complications of gonorrhea include endocarditis (inflammation of the lining of the heart) and meningitis (inflammation of the lining of the brain).

       In women, gonorrhea can rise to the genital tract and infect the lining in the pelvis, causing pelvic pain and reproductive problems. It is estimated that there are over 150 million cases of gonorrhea in the world each year, although in some countries tend to decline, but other countries are likely to increase. Transmission of the disease gonorrhea (GO) that typically occurs, is to have sex, or with variations include: oral-sex (the GO pharyngitis), anal-sex (the proctitis GO) is also the gonoblenorrhoea the eyes of newborns to mothers -suffering mother.


gonoblenorrhoea
Gonoblenorrhoea in Baby
     
  Humans are the only host for gonococcal which can only survive a short time outside the human body. Gonorrhea is itself a classic example of an infection that is transmitted through direct physical contact with the mucosal surface of the patient, usually sexual partners. N. gonorrhoeae is a Gram-negative diplococci that does not produce spores and are naturally very sensitive to antimicrobials compared with other Gram-negative bacteria, but gradually arising mutants that are resistant to antibiotics in clinical, particularly to penicillin due to independent chromosomal mutations that affect the structure of the cell surface , and to tetracycline due to the additive effects of multiple mutations or chromosome via plasmid.


Etiology
       Gonorrhea caused by gonococcal Neisseria included in the group and there are 4 known species, namely N.gonorrhoeae and N.meningitidis that are pathogenic, and N.cattarrhalis and N.pharyngis sicca that are commensal. The fourth species is difficult to distinguish unless the fermentation tests.

Neisseria gonorrhea
Neisseria gonorrhea

        Gonococcal belonged diplococci, coffee bean shaped measuring 0.8 μ and 1.6 μ long, is resistant to acid. In the direct preparation is gram negative gram stain, visible on the outside and inside leukocytes, not durable in the air, die quickly in the dry state, can not stand temperatures above 39oC, and do not hold disinfectant substances, gonokok requires a temperature of 35-37oC and pH (7.2 -7.6) to grow.


Source
1. http://www.studyblue.com/notes/note/n/pictures-medical-importance/deck/4624797

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