PMC8308951_01
A) vulval redness and greenish yellow discharge; B) gram stain shows intracellular diplococci
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F1
Venereological examination of the vulva and vaginal introitus showed vulvar erythema and greenish-yellow body discharge with negative whiff test (Figure 1A). Investigation in the form of examination of vaginal secretions with gram stain showed intracellular and extracellular gram-negative diplococci, with polymorphonuclear (PMN) leukocytes >25/LPB (Figure 1B).
primary multiplex PCR examination showed N. gonorrhoeae
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F2
The PCR examination of vaginal secretions identified Neisseria gonorrhoeae (Figure 2).
no more discharge was found after seven days of treatment
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F3
The vulva was not an erythematous vulva and no discharge was found (Figure 3).