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.
Gonorrhea, rectalA54.8
DefinitionThis section has been translated automatically.
Clinical featuresThis section has been translated automatically.
Highly inflammable reddened anus, possibly itching, discharge possible. Proctoscopically reddened, swollen, purulent mucous membrane.
TherapyThis section has been translated automatically.
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.
Note(s)This section has been translated automatically.
Rectal gonorrhea is often asymptomatic in both sexes and is thus a reservoir of infection.