All of the following are true about gonococcal epididymitis, EXCEPT
Correct Answer: Immediate surgical intervention is needed
Description: (D) Immediate surgical intervention is needed # EPIDIDYMITIS is inflammation of the collecting tubules that lie behind the testes in the scrotum.> Inflammation of the epididymis is often associated with an inflammation of the urethra or of the testes, a so-called orchitis. A well-known cause of epididymo-orchitis is mumps. In severe cases it may lead to loss of function of the affected test s.> Other forms of epididymitis may be classified as gonococcal and non-gonococcal. The former arises after the urethritis caused by the sexually transmitted gonococcus bacteria has subsided.> Treatment: Ceftriaxone 250 mg IM once PLUS doxycycline 100 mg PO bid x 10d. Allergy to cephalosporins: N. gonorrhoeae resistance rates to fluoroquinolone antibiotics have increased to >25% in some U.S. cities and are no longer recommended for use in treatment of gonococcal infections at any site. For patients with a history of cephalosporin allergy consultation with a specialist is recommended for allergy testing and desensitization, if needed, prior to treatment with a cephalosporin. Spectinomycin has not been demonstrated to achieve adequate tissue penetration in treatment of gonococcal epididymitis and cannot be recommended.
Category:
Surgery
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