Persistent pharyngitis in a 14-year-old girl!!

[Preyashi]

Hello, my 14-year-old girl student is admitted to the hospital with a 3-week history of sore throat leading to significantly decreased oral intake. She reports progressive worsening of a painful sore throat resulting in avoidance of nearly all oral intake and an associated 22-lb weight loss. She has presented to care twice, 2 weeks and 2 days earlier. During each of those visits, rapid group A streptococcal (GAS) antigen testing and follow-up GAS culture were negative. She was discharged with symptomatic care for presumed viral pharyngitis. She vomited twice but has not had fevers, cough, rash, or diarrhea. Her medical history is noncontributory. Her immunizations are up to date. She reports one lifetime sexual partner and reports condom use with every encounter. Doctor told that this is a case of neisseria gonorrhoeae infection. What are the therapy to treat this?

[Sahana]

@preyashi Adults with gonorrhea are treated with antibiotics. Due to emerging strains of drug-resistant Neisseria gonorrhoeae, the Centers for Disease Control and Prevention recommends that uncomplicated gonorrhea be treated with the antibiotic ceftriaxone — given as an injection — with oral azithromycin. If you're allergic to cephalosporin antibiotics, such as ceftriaxone, you might be given oral gemifloxacin (Factive) or injectable gentamicin and oral azithromycin.