![]() ![]() ![]() She lives with her parents in Reedley, California, a small town 30 minutes southeast of the city of Fresno, surrounded by neat rows of grapevines, orange groves and almond trees. “Are you familiar with syphilis?” Hou Vang, a county communicable disease specialist, asks a pregnant woman standing in the shade of a tree outside her home. ![]() Life expectancy in Fresno County drops by 20 years depending on where you live, and it’s those who live in historically poor, redlined or rural neighborhoods who are most impacted by a resurgence of maternal and congenital syphilis. In the Central Valley, where two-thirds of the nation’s fruit and nuts are grown, the pastoral landscape masks entrenched racial and economic disparities. Public health workers say the increase coincides with a decline in funding for public health and a drop in the rate of women accessing prenatal care. This Centers for Disease Control and Prevention (CDC) video showed how quickly N.The number of congenital syphilis cases has ballooned to rates not seen in two decades. This situation may change in the future though, perhaps sooner than later. And although super gonorrhea has been spreading, it’s not as if you routinely hear people say, “yeah, got super gonorrhea again,” when you ask them how they are doing in the hallway. Of course, case reports are traditionally reserved for very unusual situations. And that kids is how this new strain met the Eurosurveillance journal as a case report. In other words, this testing showed that the doctors were dealing with a new strain. According to the case report, this strain, named AT159, “belongs to the same sublineage as WHO Q,” but differs by 313 DNA sequences. ![]() However, molecular analysis revealed that the man had a new XDR strain of N. Placing the man on one gram of amoxicillin-clavulanic acid twice a day for seven days did seem to clear the infection. gonorrhoeae strain revealed high-level resistance to azithromycin and resistance to ceftriaxone, cefixime, cefotaxime, ciprofloxacin and tetracycline, leaving much fewer treatment options. gonorrhoeae seemed to be still hanging around, kind of like a politician voted out of office who insists that he still holds that office, suggesting that the first round of antibiotics had failed to clear the infection. A PCR test of what the cotton swab dug up revealed something super not good. Therefore, the doctor performed a repeat urethral swab. It isn’t always obvious when someone has one. gonorrhoeae infection isn’t like a mullet. Keep in mind, though, that no symptoms does not necessarily mean no infection. During his follow-up visit to clinic around two weeks later, the man indicated that his symptoms had resolved. The doctor then prescribed the man a typical antibiotic treatment for gonorrhea (one gram of ceftriaxone intramuscularly plus 1.5 mg of azithromycin) because the doctor perhaps thought that this was just your run-of-the-mill case of gonorrhea.Īlas, that notion was soon gone about the gonorrhea. There, the doctor conducted various tests, including a urethral swab, which revealed the presence of N. Therefore, the man eventually ended up in a urology department in Austria in April 2022. Such symptoms are clearly not things that you can simply walk off or resolve with large amounts of ice cream and a Netflix binge. Indeed, around five days after he had baked the potato, swept the chimney, lit the hot dog on fire, or whatever euphemism you want to use for sex, the man from Austria developed a burning sensation on urination as well as discharge from his penis. ![]()
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