Box for Nasal colonization with Staphylococci can be eradicated by intranasal mupirocin or oral ciprofloxacin or trimethoprim sulfamethoxazole.
Box for CAMP test stands for Chrisie, Atkinson, and Munch-Peterson, who first described the phenomenon of enhancement of the beta hemolytic activity of beta hemolysin from S.aureus by a protein produced by Group B streptococci. Group B streptococcus is streaked perpendicular to a streak of S.aureus on blood agar and incubated overnight. The test is positive if synergistic beta hemolysis is seen as an “arrow-shaped" area of hemolysis where the streaks meet each other.
Box for Fitz-Hugh-Curtis syndrome (gonococcal perihepatitis) is a rare disorder that occurs almost exclusively in women. It is characterized by inflammation of the membrane lining the stomach (peritoneum) and the tissues surrounding the liver (perihepatitis). Fitz-Hugh-Curtis syndrome is a complication of pelvic inflammatory disease (PID) in women. Infection is often caused by Neisseria gonorrhoeae and Chlamydia trachomatis.
Penicillin or third-generation cephalosporins (ceftriaxone and cefotaxime are the drugs of choice) are used to treat meningococcal infections. Rifampin or ciprofloxacin can be used in prophylaxis.
Box for repeated gonococcal infections: a person can get reinfected with the same strain of gonococci multiple times as the organism changes the antigenicity of its pili and outer membrane protein.
In cases of suspected coinfections of N.gonorrhoeae and Chlamydia trachomatis, the cervical specimen for N gonorrhoeae detection should be taken before the specimen for C trachomatis, because N.gonorrhoeae is present in the mucus from the endocervix and C trachomatis is present in cervical epithelial cells.
Gonorrhoea is a reportable public health disease.