Abstract
N. gonorrhea is a Gram-negative diplococcus that can cause a range of infections among adults. Common clinical emergency department (ED) diagnoses for which this update is applicable are urethritis and epididymitis in men and cervicitis, urethritis, and pelvic inflammatory disease in women. Either sex can be affected by disseminated gonococcal disease or, less commonly, pharyngitis. Although these infections are rarely definitively diagnosed in the ED, they are routinely treated presumptively without the benefit of culture and susceptibility results to guide choice of antibiotic. For this reason, fluoroquinolone resistance and the CDC revised recommendations are important to the emergency physician.
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