Symptoms, signs, treatment of gonorrhea in the mouth, throat, larynx, lips, eyes
Gonorrhea refers to a rather contagious infection, i.e. infections with a high risk of infection. So, one time unprotected vaginal intercourse the risk of transmission is 50%. When non-traditional relationships, in particular, by oral to oral contact, this risk is somewhat less but still high.
The way of transmission
In the external environment gonococcus dies quickly, but the moisture it can retain its vitality for a little while. Therefore, the patient with symptoms of gonorrhea in the mouth or throat need to eat from separate utensils.
In addition, the occurrence of gonorrhoea of the eye (ophthalmia) in newborns is possible when passing through the birth canal sick mother, if she's not been treated before birth. Infection in the eyes may adult, with gonococcal inflammation of the genitals or of the mouth, – sold contact way of infection.
The incubation period is 5-10 days after the infection, followed by acute stage or the disease is asymptoms.
Features of gonorrhea in the mouth
Gonorrhea of the mouth is almost never develops in isolation. She immediately spread into the throat and into the larynx. Therefore, this localization process is also called oropharyngeal.
Very often gonorrhea of the throat are asymptomatic or sluggish in the chronic phase. Acute symptoms usually occur in newborns who are deprived of any immunity. In the mouth the gonococcus is most often embedded in the mucosa or the back of your tongue or the bottom surface in the bottom of the mouth.
Lesions are often localized on the cheeks, lips, gums and sometimes the soft palate. They have the appearance of erosions or linear excoriations, covered with malodorous crust, which is formed by the discharge on the surface of the lesion exudate and drying.
The surrounding mucosa with gonococcal stomatitis looks swollen, often join a secondary bacterial and fungal infections. If the lesion is located on the back of the tongue, it is easy to recognize on the basis of atrophy of the papillae. This place is on the tongue looks smooth and has a darker color.
Gonorrheal pharyngitis and laryngitis
Gonorrhea of the throat (gonococcal pharyngitis) also has a distinctive specifically for her symptoms. Patients complain of hoarseness, pain on swallowing and the unpleasant smell. In acute disease the temperature rises, there is a weakness and chills and other symptoms typical of angina.alt="Characteristics of gonorrhea in the mouth">
Upon inspection of the Palatine tonsils look swollen, covered with purulent discharge. Increase cervical lymph nodes. To identify the specific cause only when taking a smear, and also on the basis of recent casual oral relationship.
If time does not undergo treatment and remove the symptoms of strep throat, gonorrhea is spreading in the respiratory tract, where it causes laryngeal gonorrhea. It is no different from symptoms of laryngitis, developing for other reasons.
Gonorrheal laryngitis is characterized by such features as "barking" cough, difficulty breathing and shortness of breath.
Gonorrhea of the eye
Gonorrhea of the eye manifests itself as a typical purulent conjunctivitis. To set the cause only at the expense of additional laboratory tests. For adults who were infected by contact, typical one-way process. Newborns often affects both eyes.
Gonococcal conjunctivitis if untreated, can lead to clouding of the cornea with the need for her transplant.
The main symptoms of ophthalmia:
- conjunctival redness;
- transparent discharge from the eyes, which later joins the pus;
- eye pain, photophobia;
- blurred vision.
Methods of treatment
Gonorrhea is well amenable to treatment with broad-spectrum antibiotics. But the selection of them is performed individually on the basis of a cultural study and antibiogram. It allows us to determine which drugs gonococcus sensitive just. So, most often for the treatment of gonorrhea used penicillins and cephalosporins, at least – aminoglycosides.
In addition to oral antibiotics, their solutions are appointed and locally. If gonorrhea in mouth solutions are used for rinsing, application and ointments on the basis of tetracycline. And to prevent other infections recommended rinsing with antiseptics (chlorhexidine, furacilin, chamomile). In gonorrhea of the throat treatment antiseptics administered in the form of a spray (e.g. Lugol spray").
If gonorrhea of the eye parallel to the General antibiotic therapy apply local treatment with aqueous penicillin or chloramphenicol. Each eye is handled by a separate swabs. In the case of unilateral lesions the healthy eye is also treated to prevent. You can use sulfacetamide sulfatsil sodium or boric acid solution.