Does Levofloxacin cure both chlamydia and gonorrhea?

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The time required for IgG (immunoglobulin G) antibodies to develop after the exposure to HSV (herpes simplex virus) is usually 21 to 42 days. A negative HSV IgG means that you have probably not been exposed to HSV. HSV IgM (immunoglobulin M) will tell whether you have an acute or current infection. These usually takes 9 to 10 days to develop after the infection and lasts for 7 to 14 days. If the high risk exposure was four months back and there had been no other exposure, HSV IgG will suffice. I will also suggest that if you had a high-risk exposure, get your rapid HIV (human immunodeficiency virus) antibody test done. Hope your query is answered, but if you have any other question, please revert.

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I have seen your wife's report (attachment removed to protect patient identity). Answers to your queries are as follows. Yes, a negative HIV (Human Immunodeficiency Virus) antibody test along with PCR (polymerase chain reaction) test done at four months is highly conclusive. Yes, a negative gram stain urine test for gonorrhea is again conclusive at four months. Chlamydia IgM (Immunoglobulin M) weak positivity indicates recent chlamydia infection and after some duration, IgM will start waning and IgG will appear. It is possible to detect infection after eight days of exposure. This time lag is unlikely to affect PCR (Polymerase Chain Reaction). Your wife's routine urine examination is normal. She was not tested for gonorrhea infection. Gonorrhea and chlamydia require specific tests. Hope you have got answers to your queries, but if you still have any other query, please revert.

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Levofloxacin 750 once a day for seven days will work for chlamydia. For chlamydia, a urine sample is given, and for gonorrhea, a throat swab is taken. Retesting is generally preferred at least after two weeks. Yes, Levofloxacin is used for both chlamydia and gonorrhea infections. Your wife's routine urine examination is normal. Hope your queries are answered, but if you still have any more questions, please revert.

Hi Rahul! Welcome again!

I could not see any attachment in this query. Testing or screening for Chlamydia can be done as early as 24 hours after the exposure. The incubation period varies and it is suggested for the most accurate results get tested two weeks after the exposure. If Chlamydia test is positive, it is suggested to repeat the test after 2 weeks of treatment completion so as to confirm that Chlamydial infection is cleared from the body. Chlamydia ELISA (Enzyme Linked Immunosorbent Assay), IgM (Immunoglobulin M) & IgG (Immunoglobulin G). Yes, IgM will slowly wane off and IgG will appear and this will indicate protective immune response and a past infection. Both to be tested again, as your earlier result was weakly reactive.

Hi Rahul! Welcome back!The complete STD (Sexually Transmitted Disease) panel performed for your wife is conclusive. Gonorrhoea can be acquired from a person infected with it, during oral sex. The bacteria spreads through oral sex with an infected partner. If you had oral sex with that person, throat swab is preferred. Hope your query is answered, but please do not hesitate to ask or call for any doubts.Best wishes!

Hi!Most men who are infected with Gonorrhoea shows symptoms within​ two to five days after exposure, with a possibility of manifestation upto 30 days. This could be in the form of yellow- white discharge from penis/ burning in the urine/ pain or swelling of testicles. Gonorrhoea infection of mouth is usually without symptoms. But if present, this includes soreness or redness in the mouth or throat. Throat swab culture test will help to determine the Gonorrhoea infection. The specimen choice depends on sexual orientation of person besides other factors. Urethral swab and or throat swab is preferred. Urine sample is one of the specimen type suitable for PCR (Polymerase Chain Reaction) test. Hope you have got answers to your query, but please feel free to ask or call.

Hi Rahul! Welcome to icliniq!Throat swab for Gonorrhoea is generally recommended in men who have sex with men and had oral sex. Gram stain is sensitive and specific for urethral sample but is not sufficient for throat sample. In addition to culture, NAAT (Nucleic acid Amplification Test) is also available. Yes. Although tests are very sensitive and specific and there is very small chance of being false Negative. In throat sample, back of the throat and tonsillar area is swabbed with a sterile swab. Swab is just like a cotton bud but is smaller and round in shape. No prior preparation is required. Hope your queries are answered, but feel free to ask any question.Best wishes!

Hi!You have been given adequate treatment. If you have yet not started the treatment, wait for it, if you are planning to go for throat swab. If you have already started with it, inform the lab person about the medicines you are taking. You need to tell that you require throat swab culture for Gonorrhoea.Don't worry for report card. It will be given by designated lab person. It could be in the form of gram negative, oxidase positive diplococci isolated indicating Gonorrhoea or it can be Negative for it. Hope your questions are answered but you are always welcome to ask or call anytime.Best wishes!

Hi Rahul! Welcome!You can go for urine PCR (Polymerase Chain Reaction) for Chlamydia. PCR. No, you need not to repeat it. VDRL (Venereal Disease Research Laboratory) for syphilis (if it has not been done before). Just to highlight the fact that even if a partner has an STI (Sexually Transmitted Infection), it does not necessarily leads to transmission. The risk of transmission from a single exposure is not known. There is no point of worrying of HPV (Human Papillom Virus)/EBV (Epstein Barr Virus). There is no need to go for it. Hope I have answered your questions, but don't hesitate to ask or call anytime.Best wishes!

Hi!Get your routine urine examination as well as urine Culture sensitivity. There could be many causes. It requires proper examination. However, sending photos of lesions might be of some help. Best wishes!