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    Disseminated Gonococcal Infection

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    Fauzan Hilman
    Disseminated Gonococcal Infection can present with petechial or pustular acral skin lesions, asymmetrical arthralgia, tenosynovitis, or septic arthritis. Treatment involves hospitalization, especially for those who are non-adherent to therapy, have an undiagnosed infection, purulent synovial effusions, or other complications like endocarditis or meningitis. After 24-48 hours of initial therapy and improvement, treatment can continue with cefixime 400mg twice daily for one week. Gonococcal meningitis and endocarditis typically present 10-14 days and 4 weeks after infection, respectively.

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    Disseminated Gonococcal Infection

    Uploaded by

    Fauzan Hilman
    315 views6 pages
    Disseminated Gonococcal Infection can present with petechial or pustular acral skin lesions, asymmetrical arthralgia, tenosynovitis, or septic arthritis. Treatment involves hospitalization, especially for those who are non-adherent to therapy, have an undiagnosed infection, purulent synovial effusions, or other complications like endocarditis or meningitis. After 24-48 hours of initial therapy and improvement, treatment can continue with cefixime 400mg twice daily for one week. Gonococcal meningitis and endocarditis typically present 10-14 days and 4 weeks after infection, respectively.

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    DGI

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    Disseminated Gonococcal Infection can present with petechial or pustular acral skin lesions, asymmetrical arthralgia, tenosynovitis, or septic arthritis. Treatment involves hospitalization, especially for those who are non-adherent to therapy, have an undiagnosed infection, purulent synovial effusions, or other complications like endocarditis or meningitis. After 24-48 hours of initial therapy and improvement, treatment can continue with cefixime 400mg twice daily for one week. Gonococcal meningitis and endocarditis typically present 10-14 days and 4 weeks after infection, respectively.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    315 views6 pages

    Disseminated Gonococcal Infection

    Uploaded by

    Fauzan Hilman
    Disseminated Gonococcal Infection can present with petechial or pustular acral skin lesions, asymmetrical arthralgia, tenosynovitis, or septic arthritis. Treatment involves hospitalization, especially for those who are non-adherent to therapy, have an undiagnosed infection, purulent synovial effusions, or other complications like endocarditis or meningitis. After 24-48 hours of initial therapy and improvement, treatment can continue with cefixime 400mg twice daily for one week. Gonococcal meningitis and endocarditis typically present 10-14 days and 4 weeks after infection, respectively.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 6

    Disseminated Gonococcal Infection

    petechial or pustular acral skin lesions,


    asymmetrical arthralgia, tenosynovitis, or
    septic arthritis
    Tatalaksana
    Rawat inap
    Terutama :
    Tdk patuh pd terapi
    Diagnosis belum pasti
    Efusi sinovial purulen
    Komplikasi lainendocarditis,meningitis

    Sumber : CDC-USA. Sexually transmitted deseases treatment guidelines 2010. MMWR, 2010
    Tatalaksana

    Setelah 24-48 jam perbaikan


    terapi sebelumnya dapat dilanjutkan +
    Cefixime 2x400mg PO (1 minggu)

    Sumber : CDC-USA. Sexually transmitted deseases treatment guidelines 2010. MMWR, 2010
    Gonococcal Meningitis and
    Endocarditis

    Meningitis 10-14 hari


    Endocarditis 4 minggu

    Sumber : CDC-USA. Sexually transmitted deseases treatment guidelines 2010. MMWR, 2010
    Recurrent and Persistent Urethritis
    Pengobatan yg sama dapat diulang, syarat:
    Tidak patuh sebelumnya
    Berhubungan dgn pasangan yg belum diobati
    Syarat tdk sesuai resisten doksisiklin? konfirmasi lab
    Penyebab resistensi : U. urealyticum or M. genitalium.
    T. vaginalis penyebab lain uretritis

    Moxifloxacin 400 mg orally


    once daily for 7 days is highly
    effective against M. genitalium

    Sumber : CDC-USA. Sexually transmitted deseases treatment guidelines 2010. MMWR, 2010
    Tatalaksana pasangan seks
    Evaluasi dan terapi sesuai alur pedoman

    Sumber : CDC-USA. Sexually transmitted deseases treatment guidelines 2010. MMWR, 2010

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