Which conditions should be included in the differential diagnoses for gonorrhea in females?

Updated: Sep 07, 2018
  • Author: Brian Wong, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

When evaluating a female patient with suspected gonococcal infection, also consider bacterial vaginosis, vaginitis, ectopic pregnancy, pregnancy, tubo-ovarian abscess, endometriosis, and mucopurulent cervicitis. In men, consider epididymitis, orchitis, and testicular torsion.

Other conditions that should be considered include the following:

  • Urinary tract infections
  • Pharyngitis; hepatitis
  • Herpes simplex urethritis
  • Rat-bite fever
  • Inflammatory and septic arthritis
  • Nongonococcal conjunctivitis, endocarditis, meningitis, and urethritis

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