QuestionSBA
QuestionChoice
The diagnosis in this case is non-gonococcal urethritis (NGU). Common organisms implicated are _Chlamydia_ and _Mycoplasma_ species. Doxycycline (or azithromycin as a 2nd line option) are recommended in the first instance. If NGU recurs, metronidazole may be prescribed with azithromycin.
10036025
d
Metronidazole
QuestionChoice
Benzathine benzylpenicillin is the first-line antibiotic of choice for syphilis. The diagnosis in this case is non-gonococcal urethritis (NGU). Common organisms implicated are _Chlamydia_ and _Mycoplasma_ species. Doxycycline (or azithromycin as a 2nd line option) are recommended in the first instance.
10036024
c
Benzathine benzylpenicillin
QuestionChoice
Fluconazole is usually used in the treatment of candidiasis. The diagnosis in this case is non-gonococcal urethritis (NGU). Common organisms implicated are _Chlamydia_ and _Mycoplasma_ species. Doxycycline (or azithromycin as a 2nd line option) are recommended in the first instance.
10036026
e
Fluconazole
QuestionChoice
The diagnosis in this case is non-gonococcal urethritis (NGU). Common organisms implicated are _Chlamydia_ and _Mycoplasma_ species. Doxycycline (or azithromycin as a 2nd line option) are recommended in the first instance.
10036022
a
Doxycycline
QuestionChoice
The diagnosis, in this case, is non-gonococcal urethritis (NGU). Common organisms implicated are _Chlamydia_ and _Mycoplasma_ species. Doxycycline (or azithromycin as a 2nd line option) are recommended in the first instance.
10036023
b
Clarithromycin
QuestionComment
Am I being stupid- his urine NAAT was negative for chlamydia, are we assuming it's mycoplasma then and so giving doxycycline?
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Intubation Endoscope
QuestionComment
can this not be trichomoniasis? 
58494
QuestionComment
thats what i thought

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User
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Hematoma Gastro
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Amnesia Serotonin
Concept
Chapter
2693
3846
Urethral discharge
Topic
163
Genitourinary medicine
19608
Doxycycline is the first-line treatment for non-gonococcal urethritis, commonly caused by Chlamydia and Mycoplasma species.
A 23-year-old man visits a sexual health clinic with dysuria and purulent urethral discharge. He reports two episodes of unprotected sexual intercourse with a casual female partner three weeks ago.

A nucleic acid amplification test of his urine is negative for chlamydia and gonorrhoea. Microscopy performed on a sample of the discharge shows 19 neutrophils/high power microscopic field (normal < 5 neutrophils/high power microscopic field).

What is the most appropriate antimicrobial to prescribe?
a