Gonococcal Chlamydial Epididymitis — RACP Adult Medicine MCQ

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EasyInfectious DiseasesGonococcal Chlamydial EpididymitisRACP Adult Medicine

A 35-year-old man with epididymitis. Urine/urethral PCR positive for chlamydia AND gonorrhoea. Treatment?

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Correct answer: A — Ceftriaxone 500 mg IM STAT + doxycycline 100 mg BD for 14 days

Dual therapy: ceftriaxone IM (gonorrhoea) + doxycycline 14 days (chlamydia/epididymitis coverage). Partner notification essential.

Reference: eTG – 2025 – Antibiotic; ASHM – 2024