Is it serious for a woman to be positive for gonorrhea?

If a woman tests positive for gonorrhea, which indicates chlamydia infection, this condition is not very serious if the clinical manifestations are limited to the vagina and cervix. If chlamydia invades the pelvis, it may cause infertility and other conditions, which is a more serious condition. Therefore, whether the gonococcal positive disease is serious needs to be determined by combining the clinical manifestations and the location of its spread. It is recommended that further examinations be conducted, preferably combining clinical manifestations, tests and other auxiliary examinations to determine the severity of the disease, and then choose the appropriate medicine or method for treatment.

Chlamydia is another name for the Gram-negative bacillus of Neisseria gonorrhoeae, which is a harsh body parasite that is often found in the white blood cell counts of purulent secretions of acute urethritis and vaginitis. Its shape and color are similar to those of meningococci. Chlamydia infection can cause purulent infection of the urinary tract and is one of the common reproductive tract infections, also known as gonorrhea. Clinical symptoms are most common in urethritis and cervicitis. Typical symptoms include difficulty urinating, frequent urination, urgency, inability to hold urine, painful urination, and discharge of mucus or purulent secretions. It can also invade the eyes, throat, duodenum, pelvis, and spread infection in the blood circulation, causing arthritis, perihepatitis, sepsis, endocarditis, or meningitis. Molecular biological examination mainly uses acid-fast staining of purulent secretions of the urethra and Gram staining microscopy. If Gram-negative diplococci are found in mononuclear cells, it will have diagnostic value and can be isolated and cultivated when necessary.

Clinical manifestations of Chlamydia

Confirmation of reproductive tract infection in urologist patients. Gonorrhea accounts for about half of all cases diagnosed as reproductive tract infections in clinical medicine. Rapid and accurate testing methods for Chlamydia are particularly important for diagnosing gonorrhea and controlling the spread of gonorrhea.

1. Acid-fast staining of purulent secretions from the urethra

Take urethral secretions and make acid-fast stain and then Gram stain to check whether there are typical intracellular Gram-negative diplococci, which can serve as the basis for basic diagnosis.

2. Separate and shape

If chlamydia is present in the specimen collection, the bacteria can be grown after being cultured in a suitable culture medium. The modeling method is applicable to specimen collection from both men and women. It is the only method recommended by the World Health Organization for screening gonorrhea patients and is also the gold standard method for diagnosing gonorrhea.

3. Gram staining

Typical Gram-negative diplococci may indicate Chlamydia, but further laboratory evaluation is necessary.

4. Antimycin Experiment

Chlamydia produces antibiotics during its growth process. Adding antibiotic strips to the bacteria that have been grown in the culture medium for 24 to 48 hours can change the color of the Chlamydia bacteria to purple or even gray-black. If the shape of the bacteria in the specimen collected by acid-fast staining is consistent with the characteristics of gonococci, and gonococcal cells are grown, and the antimycin test is positive, a basic diagnosis can be made.