Introduction:
Gonorrhea is caused by gram-negative diplococci, Neisseria gonorrhoeae . It is one of the most common reportable, sexually transmitted infections in the United States. Over 700,000 cases were reported to the CDC in 2021 with about half of these infections estimated to be resistant to at least one antibiotic (1), although most strains remain susceptible to ceftriaxone. While the typical gonorrheal infection leads to cervicitis in women and urethritis in men; untreated infections often result in pelvic inflammatory diseases, ectopic pregnancies, and infertility in both men and women (2). The disseminated gonorrheal infection (DGI) is seen in less than 3% of all gonorrheal cases with complications ranging from polyarthritis to an overlap of polyarthritis with cutaneous manifestations (3), and in rare instances, endocarditis and meningitis have been reported (4,5).