What is gonorrhea?

Super gonorrhea virus

Gonorrhea is a purulent infection of urogenital system caused by gonococcus, including eye, pharynx, rectum, pelvic cavity and disseminated gonococcus infection. It belongs to the category of drenching syndrome and drenching turbidity in traditional Chinese medicine. The pathogen of this disease is Neisseria gonorrhoeae or diplococcus gonorrhoeae, which is gram-negative diplococcus. It can only infect people and is not easy to grow away from the human body.

Mode of infection

It is mainly direct infection through sexual intercourse, and indirect infection through contaminated articles. It is more common in women, especially young girls. Newborns who give birth through the birth canal can also get sick because pregnant women are infected with Neisseria gonorrhoeae. Neisseria gonorrhoeae has special affinity for mucosa, especially for mucosa composed of columnar epithelium or transitional epithelium, which causes local acute inflammation or makes patients become carriers.

The incubation period of clinical manifestations is usually 2 to 10 days, with an average of 3 to 5 days. About 5 to 20% of men and 60% of women have no obvious symptoms after infection.

Types of gonorrhea

(1) Acute urethritis of male gonorrhea can be divided into primary anterior urethritis and later posterior urethritis. Anterior urethritis can be characterized by itching, burning and pain at the external urethral orifice and navicular fossa, mild flushing and swelling at the external urethral orifice, followed by urethral mucosal inflammation, and gradually form a large number of yellow and white pus overflowing from the urethral orifice, redness and swelling at the urethral orifice, eversion, urinary pain, painful erection and other phenomena; Can be complicated with prepuce glans inflammation and so on; Those with enlargement of inguinal lymph nodes are called gonorrhoea; Some patients may have fever, headache, fatigue and other systemic symptoms. Urethritis is mainly developed by 2 weeks after untreated urethritis, mainly manifested by frequent urination, urgency, urine pain, terminal hematuria, perineal dull pain, oppression, and transient symptoms of urinary retention or fever and headache. It can be associated with prostatitis, epididymitis, seminal vesicle inflammation, cystitis * and so on.

2. Chronic urethritis is mostly developed from the acute inflammation of the anterior urethra without formal treatment. The symptoms of urethritis occur repeatedly or last for more than 2 months. The patient's self-conscious symptoms are alleviated, only mild intraurethral tingling, discomfort and significantly reduced secretion, which can be combined with prostatitis, seminal vesicular adenitis, epididymitis, cystitis or urethral stricture. Drug treatment is not easy to complete, with heavy mental burden or neurosis.

Guard against the threat of gonorrhea

(2) The symptoms of gonorrhea in women are mild, and about 60% of patients are asymptomatic. It often occurs in cervix, followed by urethra, paraurethral gland and vestibular gland. There may be an increase in vaginal purulent secretions, obvious cervical congestion or edema and erosion, and purulent secretions may flow out of the cervical canal. The symptoms of urethritis are mild, which can be manifested as frequent urination, urgency and pain. There are purulent secretions at the urethral orifice. The paraurethral gland can be swollen, painful, red and swollen, and there are purulent secretions when squeezed. When the vestibular gland is infected, there is redness, swelling and pain, redness of the opening, and a small amount of purulent secretion during extrusion. Ascending infection causes pelvic inflammation, including endometritis, salpingitis, peritonitis, pelvic abscess or secondary fallopian tube ovarian cyst, causing lower abdominal pain, increased purulent leucorrhea, thickening of accessories, tenderness, high fever, chills, nausea and vomiting, leukocyte rise and other systemic symptoms. Chronic recurrent salpingitis can cause lumen stenosis, thickening, adhesion and obstruction, infertility or ectopic pregnancy (3) Children's gonorrhea 1. Vulvovaginitis in young girls is mostly caused by indirect infection, which is manifested as acute vulvovaginitis and gonococcal urethritis. The vaginal mucosa is red and swollen, secretes yellow green pus, the skin mucosa around the vagina is red or has erosive seepage, and the urethral orifice has pus, urgency and frequent urination. Neonatal gonococcal conjunctivitis is caused by birth canal infection, conjunctival congestion and edema, a large number of purulent secretions, corneal ulcer, iridocyclitis and even blindness.

(4) Gonorrhea of other system organs can cause gonococcal pharyngitis and proctitis by masturbation and anal sex. Disseminated gonococcal infection is rare. Gonococcus can invade the blood with fever, chills, general discomfort and loss of appetite. The typical manifestations are gonococcal dermatitis, gonococcal arthritis and tenosynovitis. Others can appear gonococcal pericarditis, gonococcal meningitis, gonococcal hepatitis, etc

In recent years, "super gonorrhea virus" has appeared in many places around the world. It is reported that the code name of "super gonorrhea virus" is H041, which was first found in Japan in 2011, and infected people have also appeared in the United States, Norway and other places. The first case of "super gonorrhea virus" infection in the United States was a young woman in Hawaii, found in May 2011.