[chulady]

I am doubt with this question

Swelling of testis, dysuria, urethral discharge. Gram stain revealed neutrophils but no organism. Which one will be most correct, chlamydia trachomits or neisseria gonorrhea.

 

[drahmednawaz]

U have two clues here! there are no organisms; Chlamydia. Which is more common, Chlamydia. In gono. u see organisms within neutros.

 

[patelMD]

IS this patient male or female?

Male is more common with Gonorrhea

 

[drahmednawaz]

IS this patient male or female?

Male is more common with Gonorrhea

Males are more symptomatic, females are often asymptomatic. Here u don't see organisms; that is classic with chlamyd.

 

[1TA2B]

Some useful facts to remember - Chlamydia trchomatis

In men, accounts for half of non-gonococcal uretritis (one of the commonest cause of non-gonococcal urethritis), a third of cases of acute epididymitis

In women, accounts for 60% of PID, half of cases of cervicitis

Typical triad in men-dysuria, urethral discharge and epididymitis

Thanks Guys!

 

[aktorque]

I am doubt with this question

Swelling or testis, dysuria, urethral discharge. Gram stain revealed neutrophls but no organism. Which one will be most correct, chlamydia trachomits or n gonorrhoea.

As drahmednawaz mentioned above, Gram stain must reveal if there is gonococcal infection. But in this case gram stain did not show any bacterias, which mean that the organism (C.trachomits) must be intracellular or lacking cell wall.

 

[doctorsmonsters]

Sounds like chlamydia, no gram stain, and intracellular.