title: A Case of Persistent and Possibly Treatment Resistant Pharyngeal Gonorrhea.
abstract: An HIV-negative man with pharyngeal gonorrhea had a positive test-of-cure (nucleic acid amplification test) result 7 days after treatment with ceftriaxone/azithromycin. Neisseria gonorrhoeae Multi-Antigen Sequencing Type 1407 and mosaic pen A (XXXIV) gene were identified in the test-of-cure specimen, and culture was negative. Retreatment with ceftriaxone 500 mg intramuscularly plus azithromycin 2 g orally yielded a negative test-of-cure result.
authors.affiliation: From the *San Mateo County Health System, San Mateo, CA; †Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA; ‡San Francisco Department of Public Health, San Francisco, CA; and Departments of §Obstetrics, Gynecology and Reproductive Sciences and ¶Family and Community Medicine, University of California, San Francisco, San Francisco, CA.
authors.forename: Vivian
authors.initials: V
authors.lastname: Levy
authors.forename: Mark
authors.initials: M
authors.lastname: Pandori
authors.forename: Zenda L
authors.initials: ZL
authors.lastname: Berrada
authors.forename: Karen I
authors.initials: KI
authors.lastname: Relucio
authors.forename: Teresa P
authors.initials: TP
authors.lastname: Lopez
authors.forename: Michael C
authors.initials: MC
authors.lastname: Samuel
authors.forename: Ina U
authors.initials: IU
authors.lastname: Park
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D058070:Asymptomatic Diseases; D017963:Azithromycin / Q000627:therapeutic use*; D002443:Ceftriaxone / Q000627:therapeutic use*; D006069:Gonorrhea / Q000188:drug therapy*; D006801:Humans; D007273:Injections, Intramuscular; D008297:Male; D009344:Neisseria gonorrhoeae / Q000235:genetics / Q000276:immunology*; D021141:Nucleic Acid Amplification Techniques; D010614:Pharynx / Q000382:microbiology; D012749:Sexually Transmitted Diseases / Q000188:drug therapy*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone; D017963:Azithromycin