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July 18, 1980

Diagnosis of Gonorrhea

Author Affiliations

Veterans Administration Medical Center University of Iowa Iowa City

JAMA. 1980;244(3):238. doi:10.1001/jama.1980.03310030014007

To the Editor.—  Though Riccardi and Felman (242:2703, 1979) beautifully summarized the laboratory diagnosis of gonococcal infection, I would like to offer an additional simple yet sensitive method of obtaining the specimen for culture. While at the Valco Hospital in Tema, Ghana, I performed a study with Richard L. Wacht, MD, and Claude Joubert, MD, to evaluate the efficacy of treating gonococcal urethritis with a single intramuscular dose of different antibiotics. In performing this study, we faced the problem of identifying cases that had dysuria and no or only minimal penile discharge.Many of our patients, not previously exposed to sophisticated medical techniques, were resistant to the introduction of a swab into the urethra. Because of this, all male patients with dysuria were examined according to the following protocol: (1) if urethral discharge were present, it was Gram-stained and cultured; (2) whether discharge was present, a fresh urine specimen was