Question

A 25-year-old man with symptomatic urethritis returns after empirical ceftriaxone 500 mg IM and doxycycline. Throat culture is positive for N. gonorrhoeae. Preferred therapy for pharyngeal gonorrhea?

Accepted Answer

Repeat ceftriaxone 500 mg IM once

Answer

Azithromycin 2 g PO once

Answer

Cefixime 800 mg PO once

Answer

No further therapy; prior ceftriaxone covers it

Answer

Dual therapy with ceftriaxone and azithromycin

Practice question

A 25-year-old man with symptomatic urethritis returns after empirical ceftriaxone 500 mg IM and doxycycline. Throat culture is positive for N. gonorrhoeae. Preferred therapy for pharyngeal gonorrhea?