A 22-year-old man comes to clinic with a 2-day history of dysuria and purulent urethral discharge after unprotected intercourse. He has no allergies. ...

Question

A 22-year-old man comes to clinic with a 2-day history of dysuria and purulent urethral discharge after unprotected intercourse. He has no allergies. Nucleic acid amplification testing is sent for Neisseria gonorrhoeae and Chlamydia trachomatis. What is the most appropriate empiric treatment?

Accepted Answer

Ceftriaxone intramuscularly plus doxycycline orally

Answer

Oral ciprofloxacin monotherapy

Answer

Oral azithromycin monotherapy

Answer

Intramuscular benzathine penicillin G

Answer

Topical mupirocin to the urethral meatus

us-abfm MCQ (SBA): Gonococcal and chlamydial urethritis

A 22-year-old man comes to clinic with a 2-day history of dysuria and purulent urethral discharge after unprotected intercourse. He has no allergies. Nucleic acid amplification testing is sent for Neisseria gonorrhoeae and Chlamydia trachomatis. What is the most appropriate empiric treatment?