gonorrhea

gonorrheal, adj.gonorrheic, adj.
/gon'euh ree"euh/, n. Pathol.
a contagious, purulent inflammation of the urethra or the vagina, caused by the gonococcus.
Also, esp. Brit., gonorrhoea.
[1540-50; < LL < Gk gonórrhoia. See GONO-, -RRHEA]

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It is characterized by genitourinary inflammation, caused by the bacterium Neisseria gonorrhoeae (gonococcus). Symptoms in men include burning on urination, discharge of pus, and, with deeper infection, frequent urination, sometimes with blood. Women may have mild vaginal discharge and burning, but there is usually no sign until a sex partner is infected or complications
sometimes serious
arise from its spread beyond the cervix. If spontaneous recovery does not occur, it may cause sterility in both sexes but is rarely fatal. Gonorrhea is common worldwide. Penicillin, generally a successful treatment, reduced its incidence, but resistant strains are increasingly found. Many cases are not reported. Penicillin may also mask coexisting syphilis (since the dose to cure gonorrhea does not cure syphilis).

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       sexually transmitted disease characterized principally by inflammation of the mucous membranes (mucous membrane) of the genital tract and urethra. It is caused by the gonococcus, Neisseria gonorrhoeae—a bacterium (bacteria) with a predilection for the type of mucous membranes found in the genitourinary tract and adjacent areas. All gonococcal infections except eye infections in newborn infants (ophthalmia neonatorum), some instances of vulvovaginitis of young girls living in institutions, and occasional accidental eye infections in adults are transmitted by direct sexual contact.

      Gonorrhea is very common, having been known for centuries by the slang term “the clap.” It is worldwide in distribution, though the incidence is not precisely known because of self-treatment, undiagnosed cases, and defective reporting. In the United States, for instance, fewer than a half million cases are reported each year, but this figure may reflect only 50 percent of actual cases. Occasional increases have been seen since the mid-1990s; these have been attributed in part to the growing resistance of N. gonorrhoeae to penicillin. The mortality from gonorrhea is negligible, but its indirect effects on the population by its not infrequent sterilization (infertility) of both sexes are incalculable.

      The incubation period of gonorrhea is usually 3 to 5 days (range 2 to 10 days). The first symptoms in the male are a burning sensation upon urination and a purulent urethral discharge that may be profuse or may be so meagre as to go unnoticed. In the absence of treatment, the infection usually extends deeper, to involve the upper urethra, the neck of the urinary bladder, and the prostate gland. Urgency and frequency of urination and, occasionally, blood in the urine may follow. Spontaneous recovery may occur within a few months to a year. Particularly among homosexual or bisexual men, rectal gonorrhea may appear with pain in the perianal area and a mucous coating on the stool.

      The initial symptoms in the female are, in most instances, so mild as to go unnoticed. Slight vaginal discharge with burning may occur. The disease is not usually suspected by either patient or physician until complications arise or a sexual partner is infected. Abscess of a vulvovaginal (Bartholin) gland occurs rarely as an early complication. Many women recover spontaneously from gonorrheal infections that extend no farther than the uterine cervix (mouth of the uterus). In many cases, however, the infection extends through the uterus to the fallopian tubes (fallopian tube) and ovaries (ovary)—a condition known as pelvic inflammatory disease. Fever usually accompanies this extension, and lower abdominal pain is a prominent symptom. Pelvic abscess or peritonitis may result. The symptoms can be confused with those of appendicitis. Healing occurs without resort to surgery in most cases, often with some physical disability and sterility. In immature girls the infection is usually confined to the vagina.

      N. gonorrhoeae can sometimes enter the bloodstream, causing disseminated gonococcal infection (DGI) in virtually any organ system. In both male and female, arthritis is the most common manifestation of DGI. The process usually settles in one or two joints and may result in permanent disability in the absence of treatment. Involvement of the tendon sheaths in the region of the affected joint or joints is not uncommon. Other, very rare, complications of gonorrhea are iritis (inflammation of the iris), endocarditis, meningitis, and skin lesions.

      Diagnosis is established by culture of a sample of urine or discharge. penicillin or tetracycline is the antibiotic usually used in treatment, one injection usually being sufficient to cure uncomplicated gonorrhea. Strains of gonococci that are resistant to penicillin or tetracycline are on the increase, however, and spectinomycin or cefoxitin are increasingly used as alternative drugs in eliminating these bacteria.

      The administration of smaller amounts of penicillin and most other antibiotics sufficient to cure gonorrhea may mask the early manifestations of coexisting syphilis and delay its diagnosis. An integral part of the treatment of gonorrhea, therefore, is the so-called serological (serological test) follow-up—a blood test for syphilis at least once a month for four months.

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Universalium. 2010.

Look at other dictionaries:

  • Gonorrhea — Gon or*rhe a, Gonorrhoea Gon or*rh[oe] a, n. [L. gonorrhoea, Gr. ?; ? that which begets, semen, the genitals + ? to flow: cf. F. gonorrh[ e]e.] (Med.) A contagious inflammatory disease of the genitourinary tract, affecting especially the urethra… …   The Collaborative International Dictionary of English

  • gonorrhea — (n.) also gonorrhoea, 1520s, from L.L. gonorrhoia, from gonos seed (see GONAD (Cf. gonad)) + rhoe flow, from rhein to flow (see RHEUM (Cf. rheum)). Mucus discharge was mistaken for semen. In early records often Gomoria, etc., from folk etymology… …   Etymology dictionary

  • gonorrhea — or gonorrhoea [gän΄ə rē′ə] n. [LL gonorrhoea < Gr gonorrhoia < gonos, a seed, semen (see GONAD) + rhoia < rheein, to flow: see STREAM] an infectious venereal disease caused by gonococci, characterized by inflammation of the mucous… …   English World dictionary

  • Gonorrhea — The clap redirects here. For other uses, see Clap. Gonorrhea Classification and external resources …   Wikipedia

  • Gonorrhea — An infection caused by bacteria called Neisseria gonorrhoea, considered primarily a sexually transmitted disease, but can also be transmitted to the newborn during the birthing process. Gonorrhea is one of the oldest known sexually transmitted… …   Medical dictionary

  • gonorrhea — n. to catch, contract gonorrhea * * * contract gonorrhea to catch …   Combinatory dictionary

  • gonorrhea — noun Etymology: New Latin, from Late Latin, morbid loss of semen, from Greek gonorrhoia, from gon + rrhoia rrhea Date: circa 1526 a contagious inflammation of the genital mucous membrane caused by the gonococcus called also clap • gonorrheal… …   New Collegiate Dictionary

  • gonorrhea — (gon o re ah) An acute infectious sexually transmitted disease of the mucous membranes of the genitourinary tract, eye, rectum, and throat. It is caused by Neisseria gonorrhoeae …   Dictionary of microbiology

  • gonorrhea — noun /ˌɡɒn.əˈɹi.ə/ An STD caused by a species of bacteria (the gonococcus) that affects the mucous membrane of the genital and urinary tracts. Syn: clap …   Wiktionary

  • gonorrhea — Synonyms and related words: French disease, Spanish pox, VD, acquired syphilis, balanitis gangrenosa, cerebral tabes, chancre, chancroid, clap, claps, climatic bubo, congenital syphilis, constitutional syphilis, dose, dose of clap, fifth venereal …   Moby Thesaurus

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