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VENEREAL DISEASE – TESTS
Sometimes the infection spreads through the blood and may cause an acute arthritis, usually involving only one joint.
Blood tests are unreliable and the diagnosis can be made on smear or culture from the affected area.
Most cases respond to a short course of injected penicillin. The long-acting penicillins, sometimes used in treating syphilis, are ineffective and so are penicillin tablets taken by mouth.
Penicillin derivatives such as amoxycillin are effective when given by mouth.
Some strains of gonococci, mainly from South-East Asia, are resistant to penicillin and so other drugs are necessary. Spectinomycin may be given as a single injection or the other tetracycline antibiotics given by mouth.
Non-specific or non-gonococcal urethritis (NGU or NSU) is essentially a male disorder. Following exposure some two to three weeks later a man may develop a discharge and pain on passing urine. As a rule, the symptoms are not as marked as with gonorrhoea.
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