Gonorrhea, rectal A54.8

A distinction is made depending on the mode of infection:

• Primary rectal gonorrhoea: Primary infection of the rectum, e.g. after anal intercourse.
• Secondary rectal gonorrhoea: Exogenous transmission in primary genital gonorrhoea.

Highly inflammable reddened anus, possibly itching, discharge possible. Proctoscopically reddened, swollen, purulent mucous membrane.

S.u. gonorrhoea; the standard therapy is ceftriaxone 1.0g i.v./i.m. once only together with azithromycin 1.5 g p.o. once only.

Alternatively (with proven sensitivity): Ceftixim 400mg p.o. together with azithromycin 1.5g once each.

Rectal gonorrhea is often asymptomatic in both sexes and is thus a reservoir of infection.