Christina M. Wyatt, MD

A 33-year-old man with well-controlled HIV infection was diagnosed with gonococcal infection by his primary HIV practitioner. STI testing had been ordered by the patient’s primary HIV practitioner at a telehealth visit. However, the primary practitioner’s office is not open for in-person visits, and so the patient is referred to your sexual health center for treatment. He brings the results of gonorrhea and chlamydia nucleic acid amplification testing, which show positive oropharyngeal testing for gonorrhea and negative chlamydia oropharyngeal testing. Also negative are rectal and urine gonorrhea and chlamydia testing, as well as syphilis treponemal testing. How do you manage this patient according to the updated Centers for Disease Control and Prevention (CDC) recommendations from December 2020?
- A. Ceftriaxone 250 mg, followed by a test of cure in 7 to 14 days
- B. Ceftriaxone 250 mg, no subsequent test of cure but retesting in 3 months to assess for reinfection
- C. Ceftriaxone 500 mg, followed by a test of cure in 7 to 14 days
- D. Ceftriaxone 500 mg, no subsequent test of cure but retesting in 3 months to assess for reinfection