Reproductive Function

Reproductive Function

1.

She is probably suffering from Gonorrhea, some supporting symptoms for this diagnosis would be the vaginal discharge that is slightly green, she also presents pain in the lower abdomen and fever. Another supporting signs would be the presence of a Gram negative bacteria of the diplococcal type. (Hill, Masters, & Wachter, 2016)

2.

The microorganism involved would be Neisseria Gonorrhea, the gonococcus, is a non-spore-forming, nonmotile bacterium that appears under the microscope as a Gram-negative coccus occurring in pairs (diplococci) with flattening of the adjacent sides. Gonococci are adapted to growth on mucous membranes and cannot tolerate drying. Their fragility limits their transmissibility to direct contact between mucous membranes or the direct exchange of infected secretions. In women, gonococci may cause asymptomatic or symptomatic endocervical infections, or upper genital tract disease.  Gonococcal infections of women are closely associated with infertility and as a result, females disproportionately suffer the consequences of infection. For both men and women, but more commonly in women, local gonococcal infection can progress to bacteremia with attendant septic arthritis.  In fact, gonococcal arthritis is the most common etiology of arthritis in young people.  When infection involves the eyes, especially in newborns, blindness can result if treatment is not prompt. Rarely, bacteremia results in dissemination to the joints, skin , endocardium or meninges.

3.

There are so many safe and effective single agent regimens that combination regimens, with their increased risk of adverse drug reactions, are unnecessary. For complicated infections, treatment with a higher dose of a single agent (e.g., 1 g instead of 125 mg of ceftriaxone for ophthalmia) or with multiple doses of a single agent (e.g., 4 weeks of therapy with ceftriaxone for endocarditis) is recommended, rather than adding a second antigonococcal agent.

Since Gonorrhea is a bacterial disease that can be treated with antibiotics; with only using a single dose of 250g of ceftriaxone and 1g of azithromycin, it can be cured. We need to let the patient know that her medication can not be shared, and that it is only for her.

Some criteria that could be used to recommend hospitalization for this patient will be based in different aspects: if her symptoms get worse, if she is pregnant, has a tubo-ovarian abscess, is immunocompromised, or is she fails to improve with outpatient treatment.

We need to explain her that importance of receiving treatment, because untreated gonorrhea infections in women may lead to several conditions, including: Pelvic inflammatory disease (PID): PID can develop from several days to several months after infection with gonorrhea. Left untreated, PID can cause infertility. Chronic menstrual difficulties. Postpartum endometritis: inflammation of the lining of the uterus after childbirth. Miscarriage. Cystitis: inflammation of the urinary bladder. Mucopurulent cervicitis: characterized by a yellow discharge from the cervix. About 1% of people with gonorrhea may develop disseminated gonococcal infection (DGI), which is sometimes called gonococcal arthritis. DGI occurs when gonorrhea infection spreads to sites other than genitals, such as the blood, skin, heart, or joints.