Hello folks.
40 year old male. Contracted oral gonorrhea from a partner. Treatment consisted of 250 mg IM injection of ceftriaxone and 10 days of Doxycycline. Symptoms included sore throat, swollen tonsils, neck muscle aches, swollen glands, low grade fever. (99.9) and discharge in the back of throat.
Sore throat started to go away after about 3 days of treatment. On the west coast gonorrhea is treated with cephalosporins and Doxy for chlamydia at the same time.
After the 10th day of treatment, I was noticing that the sore throat returned, and my low grade fever still persists. A white discharge is constantly seen at the back of the throat. Symptoms seem worse at night. My mouth seems constantly dry and sometimes my tongue or roof of my mouth hurts. Went back to the doctor for another culture and he put me on a broad based antibiotic to cover the rest of the bases (amoxicillin) until the new culture results are back in. I've read that oral cases of gonorrhea are more difficult to treat, but am I correct in that there are still no reported cases of cephalosporin resistant strains of gonorrhea? If the gonorrhea culture comes back as still positive, what's the best course of action? Cefixime? More ceftriaxone? Could I be having a reaction to so many antibiotics?
Of course there are other concerns. HIV mainly comes to mind, but we've all heard the debates on whether not oral sex is a very efficient means of transmission. I personally believe it can happen under special circumstances but risk is marginal. Potential co-infection with gonorrhea increases the possibility...but which is more likely? Complications with Gonorrhea, HIV infection or side effects of the treatment?
Doc ran new base line tests. (19 days from potential exposure)
Penile Gonorrhea: Negative
Oral Gonorrhea: Re-Testing - previously positive
Chlamydia: Negative
Syphilis: Negative
HIV: Negative