Gonorrhea and Chlamydia are STD that can transmitted by unsafe sex. The bacteria will inoculate in urethra and bladder for 2-3 weeks. After enough number of pathogens, symptoms will start to march. For gonorrhea, patient will firstly experience itching inside urethra, post void clear dipping for a few days, then followed by burning urination, the dipping changes from clear fluid to yellowish discharge. Some may notice groin lymph node enlargement. Gonorrhea is manifest by the bacterial pathogen called Neisseria gonorrheae. When it is dyed by gram stain, its appearance is intracellular negative diplococci. If gonorrhea is ignored
without any treatment, systemic infection in bloodstream can develop. According to blood stream infection, disseminated gonococcal infection may happen. Patient’s manifestations are noted with rash joint pain, fever, muscle ache, sepsis and can bring about to brain infection and heart valve infection. Even though chlamydia is stopped at the stage of itching and clear fluid dipping, it needs to be treated as well. Treatment for both gonorrhea and chlamydia is always recommended. In early stage the treatment is not complicated and provides good outcome.
Chancroid is named for the STD that presents with painful shallow ulcer in genital area. History taking and physical examination are enough to establish a diagnosis
This painful ulcer is occurred by the bacterial called Haemophilus ducreyi. When gram stain is done, the appearance is school of fish pattern from gram negative coccobacilli pathogens. Treatment with single visit can be cured without complication
