A 26 year old man presents with dysuria, frequency and a copious urethral discharge for 3 days.

He has a regular sexual partner with whom his last contact was 1 week ago, and also a casual partner whom he was last exposed to around 3 months ago.

His medical history is unremarkable.

Select Relevant Investigations
Urethral swab & Gram stain


Gram negative intracellular diplococci are noted.
There are ~10 WBC per oil immersion field


Pus cells: field full/hpf
RBC: nil/hpf
Chlamydial + Gonococcal NAAT


Negative for C. trachomatis
Positive for N. gonorrhoeae
Culture + ABST for N. gonorrhoeae


Cultures are positive for N. gonorrhoeae. Sensitivity testing shows that the strain is susceptible to Ceftriaxone and Azithromycin

Select Relevant Management
IM Ceftriaxone
Oral Azithromycin
Treat casual partner
Test 3 months after Rx