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We would like to respond to the letter submitted by Dr Pearson and Ms Anderst and to the one by Mr Neimeister and Mr Iampietro by first thanking them for bringing up the remark that was made parenthetically in our article.In our summary, we pointed out that Gram-stained smear was not efficacious in diagnosing rectal gonorrhea. In the section "Methods of Obtaining the Specimen," it was stated: "Rectal culturing should be done on all persons who engage in rectal sexual activity." In this context and to clarify the parenthetical statement that sugar fermentation tests should be done "only in oral infection," we would like to state that this recommendation is being made only if New York City (NYC) medium is used. Colonial characteristics alone on NYC medium can distinguish N gonorrhoeae from N meningitidis, and because of the large number of rectal specimens submitted, further biochemical differentiation
Felman YM, Riccardi NB. Diagnosis of Gonorrhea-Reply. JAMA. 1980;244(16):1784. doi:10.1001/jama.1980.03310160011010
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