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December 11, 1981

Pharyngeal Gonorrhea

Author Affiliations

From the USAF Regional Medical Center, Clark AFB, Republic of the Philippines (Dr Tice), and the USAF Clinic Kelly, Kelly AFB, Tex (Dr Rodriguez).

JAMA. 1981;246(23):2717-2719. doi:10.1001/jama.1981.03320230041022

Cultures of genital sites and pharynx were obtained from 903 prostitutes and 102 active-duty men at Clark AFB, Republic of the Philippines, during the first quarter of 1981. Slightly more than 2.2% positive pharyngeal cultures in the women and 6% in the men were noted. Both penicillinsensitive and penicillinase-producing Neisseria gonorrhoeae (PPNG) were recovered. Treatment and follow-up of the pharyngeal infections were available only for the men seen at the Clark Public Health Clinic. These men responded to penicillin G procaine for penicillin-sensitive N gonorrhoeae and to spectinomycin hydrochloride for PPNG. A retrospective review of cases of male gonococcal urethritis seen in 1980 in the Clark Public Health Clinic revealed 46 cases of probable oral-to-genital transfer of N gonorrhoeae among more than 2,600 cases of gonococcal urethritis. Of these 46, fifteen were PPNG. The importance of the pharynx as a source of infection is thus substantiated.

(JAMA 1981;246:2717-2719)