Question

A 24-year-old man (80 kg) with urethral discharge and gram-negative diplococci on Gram stain has no doxycycline allergy and chlamydia has not been excluded. Best treatment?

Accepted Answer

Ceftriaxone 500 mg IM once plus doxycycline 100 mg PO BID for 7 days

Answer

Ceftriaxone 250 mg IM once

Answer

Ceftriaxone 1 g IM once plus azithromycin 1 g PO once

Answer

Azithromycin 2 g PO once

Answer

Levofloxacin 500 mg PO daily for 7 days

Practice question

A 24-year-old man (80 kg) with urethral discharge and gram-negative diplococci on Gram stain has no doxycycline allergy and chlamydia has not been excluded. Best treatment?