British Journal of Sexual Medicine

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Rare transmissions of gonorrhoea
BJSM, Volume 32, Number 4.

I recently had a male patient who presented with a urethral discharge and dysuria of several days’ duration. Microscopy revealed Gram-negative diplococci and cultures confirmed gonococcal infection. He admitted that he had had genital to genital contact with a woman he had met in a bar the previous week, but said that vaginal penetration or oro-genital contact had not taken place. When he asked me whether this was the likely source of his infection, I had to admit that, although unusual, it was certainly possible.

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