Gonococcal Pharyngitis: Treatment and Concerns - Otolaryngology

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Regarding gonococcal pharyngitis?


Hello, doctor.
I previously had gonorrhea and am currently undergoing treatment.
My urologist gave me an injection and prescribed DOXYCYCLINE for 5 days.
After that, she instructed me to take BACCIDAL 100 MG tablets.
I have a lot of concerns because I previously had oral sex and I'm worried about possibly having gonococcal pharyngitis.
Does BACCIDAL 100 MG have efficacy in treating gonococcal pharyngitis? I'm a bit anxious, but I am slowly starting to feel better.
However, I'm still worried about gonococcal pharyngitis.
Please help me with this, so I can feel more at ease.
Thank you, doctor.

Qi, 20~29 year old female. Ask Date: 2005/07/12

Dr. Hu Kexin reply Otolaryngology


Hello: It is advisable to seek an examination from a specialist to confirm your condition and receive timely treatment.
Hook Sin.

Reply Date: 2005/07/12

More Info


Gonococcal pharyngitis, commonly known as gonorrheal throat infection, is caused by the bacterium Neisseria gonorrhoeae. This condition can occur following oral sexual contact with an infected partner. Symptoms may include sore throat, difficulty swallowing, and swollen lymph nodes, but many individuals may remain asymptomatic.
In your case, it seems you have been treated for gonorrhea with doxycycline, which is an antibiotic that can be effective against various bacterial infections, including some strains of Neisseria gonorrhoeae. However, it is important to note that the recommended first-line treatment for gonorrhea is typically a combination of ceftriaxone and azithromycin, as resistance to antibiotics has been increasing. Doxycycline is not the standard treatment for gonorrhea, particularly in cases of pharyngeal infection.

Regarding the medication Baccidal (which contains bacitracin), it is primarily used for topical infections and is not indicated for the treatment of gonococcal infections. Bacitracin is effective against certain Gram-positive bacteria but does not have the necessary spectrum of activity to treat Neisseria gonorrhoeae. Therefore, it is unlikely that Baccidal will effectively treat gonococcal pharyngitis.

If you are experiencing symptoms that concern you, or if you have had a known exposure to gonorrhea, it is crucial to follow up with your healthcare provider. They may recommend a test to confirm whether you have gonococcal pharyngitis or any other sexually transmitted infection (STI).
In terms of treatment, if you are diagnosed with gonococcal pharyngitis, your healthcare provider will likely prescribe a more appropriate antibiotic regimen. It is essential to complete the full course of any prescribed antibiotics and to avoid sexual contact until you have been cleared of the infection to prevent transmission to others.

Additionally, if you have concerns about potential side effects from medications or interactions with other treatments you may be receiving, it is always best to discuss these with your healthcare provider. They can provide personalized advice based on your medical history and current medications.

In summary, while doxycycline may have been part of your treatment plan, it is not the first-line treatment for gonococcal pharyngitis, and Baccidal is not effective for this condition. Please consult your healthcare provider for further evaluation and appropriate treatment options. Your health and peace of mind are important, and addressing these concerns with a medical professional is the best course of action.

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