Aa
Aa
A
A
A
Close
Avatar universal

Gonorrhea Treatment Ineffective?

Hello folks.

40 year old male. Contracted oral gonorrhea from a partner. Treatment consisted of 250 mg IM injection of ceftriaxone and 10 days of Doxycycline. Symptoms included sore throat, swollen tonsils, neck muscle aches, swollen glands, low grade fever. (99.9) and discharge in the back of throat.

Sore throat started to go away after about 3 days of treatment. On the west coast gonorrhea is treated with cephalosporins and Doxy for chlamydia at the same time.

After the 10th day of treatment, I was noticing that the sore throat returned, and my low grade fever still persists. A white discharge is constantly seen at the back of the throat. Symptoms seem worse at night. My mouth seems constantly dry and sometimes my tongue or roof of my mouth hurts. Went back to the doctor for another culture and he put me on a broad based antibiotic to cover the rest of the bases (amoxicillin) until the new culture results are back in.  I've read that oral cases of gonorrhea are more difficult to treat, but am I correct in that there are still no reported cases of cephalosporin resistant strains of gonorrhea? If the gonorrhea culture comes back as still positive, what's the best course of action? Cefixime? More ceftriaxone? Could I be having a reaction to so many antibiotics?

Of course there are other concerns. HIV mainly comes to mind, but we've all heard the debates on whether not oral sex is a very efficient means of transmission. I personally believe it can happen under special circumstances but risk is marginal. Potential co-infection with gonorrhea increases the possibility...but which is more likely? Complications with Gonorrhea, HIV infection or side effects of the treatment?

Doc ran new base line tests. (19 days from potential exposure)

Penile Gonorrhea: Negative
Oral Gonorrhea: Re-Testing - previously positive
Chlamydia: Negative
Syphilis: Negative
HIV: Negative
2 Responses
Sort by: Helpful Oldest Newest
207091 tn?1337709493
COMMUNITY LEADER
HIV is not a risk with oral sex.  Right now, you have to wait for the results.

Since you had ceftriaxone the first time, you might try cefxime this time.

Also, to the link that JG17 posted - I want to clarify that kissing wouldn't transmit gonorrhea, and that I suspect that person had some oral to genital contact at some point that caused that infection.

Aj
Helpful - 0
Avatar universal
Helpful - 0
Have an Answer?

You are reading content posted in the STDs / STIs Community

Didn't find the answer you were looking for?
Ask a question
Popular Resources
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.