Gonorrhea

Gonorrhea is a STD (sometimes called STI), transmitted by having sex. It is among the most widespread of these sexually transmitted disease. Gonorrhea is also sometimes called "the clap." Gonorrhea can be cured using antibiotic medicine but the entire course of antibiotics must be used.

Its presence was found up to 700 years ago.^{[verification needed]} At that time, this disease was described by coming from the "Le Clapiers" part of the city of Paris. This part of the city was known to be where prostitutes lived.^[1]

In 2023 there had been an increase in the number of people affected all over England and Wales. The diagnosis rate for England had risen from 80.6 per 100,000 people in 2017 to 146.1 per 100,000 people in 2022.^[2] The disease is common among black (or African Americanmen or women.^{[3][verification needed]}

Synovial fluid analysis

Synovial fluid examination^[4][5]

Type	WBC (per mm3)	% neutrophils	Viscosity	Appearance
Normal	<200	0	High	Transparent
Osteoarthritis	<5000	<25	High	Clear yellow
Trauma	<10,000	<50	Variable	Bloody
Inflammatory	2,000–50,000	50–80	Low	Cloudy yellow
Septic arthritis	>50,000	>75	Low	Cloudy yellow
Gonorrhea	~10,000	60	Low	Cloudy yellow
Tuberculosis	~20,000	70	Low	Cloudy yellow
Inflammatory: Arthritis, gout, rheumatoid arthritis, rheumatic fever

Treatment and prevention

It is caused by a bacterium, Neisseria gonorrheae. Since it is caused by a bacterium, it can be treated with antibiotics. The use of latex style condoms when having sex can prevent it from spreading. Sometimes antibiotics do not cure gonorrhea. This is because the bacterium is becoming immune or resistant to the medicine. When this happens, the infection is more difficult to cure.^[1]