This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor.—
The report by John J. Potterat and Richard D. King, MD, and the editorial by A. Eugene Washington, MD (1981;245:578, 609) indicated that fully asymptomatic men may be a substantial hidden reservoir of gonorrhea. This report is entirely consistent with a recent screening of 737 consecutive men admitted to the Cook County jail. All were questioned about past history of gonorrhea and present history of dysuria or a urethral discharge. Urethral cultures using calcium alginate swabs on flexible aluminum shafts were taken for all of the men admitted. The percentage of men that had positive Thayer-Martin cultures for gonorrhea was 5.2%. Not a single one of these patients had complained of dysuria or a urethral discharge in spite of direct questioning. On examination and urethral milking, 32.1% of those with positive gonorrhea cultures were found to have discharges. The elicited discharge was generally whitish and watery—more consistent
Raba J. Asymptomatic Gonorrhea. JAMA. 1981;245(23):2395. doi:10.1001/jama.1981.03310480015015