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Old 10-31-2011
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Default patient with chlamydia

Hi all:

Dr. Fisher said if we have Gonorrhea, we also have to treat Chlamydia, but

if we have chlamydia, we do not have to treat Gonorrhea.

But I remember we have to treat both bugs in both cases, right?

Please correct me if i am wrong.

Thank you!
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Old 11-01-2011
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i think gonorrhea can be diagnosed with gram stain n chlamydia shows negative gram stain...hence if its possible that chlamydia PID is the diagnosis gonococcal PID would hav been diagnosed by gram stain which is the initial test....just my thought.....of course it is not a compulsion that gram stain is always done....
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Old 11-01-2011
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no i don't think so
actually the questions i ve cum across dr fischer is right.
for gonococcus ceftiaxone and doxycycline
for chlamydia doxycycline or azithromycin
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Old 11-01-2011
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Here is what i know : I agree with sonu.agarwall that chlmydia doesn't show on gram stain, also the reason why we treat both gonorrhea and chlamydia is because studies have sjown that they both coincide together..
Many women have shown both chlamydia and gonorrhea at the same time
Therefore when ever you get a women who shows gram stain indicating gonorrhea you treat with cefuxime and azithromycin to cover both organisms so we dont miss the other one.
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