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.
Gram negative intracellular diplococci are noted. There are ~10 WBC per oil immersion field
Pus cells: field full/hpf RBC: nil/hpf
Negative for C. trachomatis Positive for N. gonorrhoeae
Cultures are positive for N. gonorrhoeae. Sensitivity testing shows that the strain is susceptible to Ceftriaxone and Azithromycin