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January 3, 1972

Primary Gonococcal Stomatitis

Author Affiliations

US Army Medical Center, Ryukyu Islands APO San Francisco 96331

JAMA. 1972;219(1):86. doi:10.1001/jama.1972.03190270056017

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To the Editor.—  Considering both the increasing incidence of gonococcal disease and the range of variations in sexual life, it is surprising that since 1961, when Schmidt et al (Acta Dermatovener41:324, 1961) presented a case with suspected primary gonococcal stomatitis, there have been virtually no other reports of this entity.A patient developed primary gonococcal stomatitis and urethritis developed approximately four days after he engaged in both oral and genital intercourse with a prostitute.

Report of a Case.—  A 22-year-old man was apparently well until Oct 1, 1970, when he first noticed a urethral discharge and burning dysuria. On Oct 5, the patient gave a physician a history of having performed both oral and gential intercourse with a prostitute four days prior to the onset of his symptoms. The smear of the urethral discharge revealed many gram-negative intracellular diplococci and the culture yielded Neisseria gonorrhoeae. Tetracycline, 500 mg,