A 25-year-old man presents with urethral discharge and dysuria. A NAAT is positive for Neisseria gonorrhoeae. Culture shows the isolate is sensitive t...

Question

A 25-year-old man presents with urethral discharge and dysuria. A NAAT is positive for Neisseria gonorrhoeae. Culture shows the isolate is sensitive to ciprofloxacin. He has a severe penicillin and cephalosporin allergy (anaphylaxis). What is the appropriate treatment?

Accepted Answer

Ciprofloxacin 500 mg oral stat - as the isolate is known to be sensitive

Answer

Ceftriaxone 1 g IM - cephalosporin allergy does not apply to third-generation cephalosporins

Answer

Azithromycin 2 g oral stat

Answer

Doxycycline 100 mg BD for 7 days

Answer

No treatment is possible due to the allergy

uk-dfsrh MCQ (SBA): Gonorrhoea Treatment Cephalosporin Allergy

A 25-year-old man presents with urethral discharge and dysuria. A NAAT is positive for Neisseria gonorrhoeae. Culture shows the isolate is sensitive to ciprofloxacin. He has a severe penicillin and cephalosporin allergy (anaphylaxis). What is the appropriate treatment?