Gonorrhea infection


Mary, a 23 year old law student, lives in Texas. She has hadunprotected sex with more than three partners in the last threemonths. One of the males had unprotected oral and vaginal sex withMary while the other two had unprotected vaginal sex with her. It wasone week ago since her last sexual intercourse with her partner. Atfirst, Mary was asymptomatic before she noticed some greenish yellowdischarge from her vagina. Women remain asymptomatic with gonorrheawhen symptoms are present, unlike in men, they are often lessspecific. She became suspicious that something was wrong and decidedto seek for medical examination.

  1. Key signs and symptoms consistent with the STI

She reported achange in vaginal discharge, a unilateral labial pain and swellingshe experienced rectal pain and discharge as well as described ahistory of purulent, irritating vaginal fluid. She also noted thatshe had longer and painful menses. Laboratory tests were carried outto diagnose the infection. A wet mount of secretions from the vaginaalong with other tests were carried out. Using Gram stain,intracellular Gram-negative diplococci bacteria were observed in thevaginal secretions.

  1. The experience on telling the patient that she had an STI and her reaction to the diagnosis

Mary wasdiagnosed of gonorrhea. To address the fact that she had contractedan STI was a challenge as this interfered with her psychosocialwell-being. Although she was concerned with her confidentiality, Iasked her to identify and notify all her partners who might have beenexposed. She found it difficult but I had to empathize with herfeelings. I suggested on specific ways that she could talk with herpartners so as to help to reduce her anxiety.

  1. Short-term and long-term impact of the diagnosis on the patient’s life

The patient couldnot emotionally handle the disturbing news that she had contracted anSTI. As she was told that she had gonorrhea, the patient becamedepressed. On the other hand, when told to inform her partner(s) onthe risks and need for check-up, the patient feared for herconfidentiality. She also feared for judgment from her partner(s).The impact of distress was beyond the physical effects of theinfection.

  1. Patient’s medical history, drug therapy and treatments, and follow-up care

Mary was givendrugs for treatment of gonorrhea. The drugs were given as acombination therapy of ceftriaxone 250 mg intramuscularly anddoxycycline 100mg orally twice per day for one week. She is takingher medication as was prescribed and she has been attending clinictwice per week for follow-up care. She is now asymptomatic.

  1. Reflection on the case study and what would be done differently

To help the patient to recover as well as in efforts to control thespread of infection, I would change on the interaction and relayingof information on the diagnosis of an STI to a patient. I would putinto consideration the design used to help reduce depression in thepatient. I would as well discuss with the patient into detail andprescribe antidepressant in case of severe depression.


Schuiling, K. D., &amp Likis, F. E. (2013).&nbspWomen`sgynecologic health. Sudbury, Mass: Jones &amp Bartlett Learning.

Hunter M. &amp Hunter W. (2014). Sexually Transmitted Infections.Mason Crest.

Kumar B. &amp Gupta S. (2014). Sexually Transmitted Infections.Elsevier Health Sciences.