摘要: Fifer et al from Public Health England highlight in a letter the New Journal of Medicine 1 multiresistant strain Neisseria gonorrhoeae (NG) urethral and pharyngeal samples heterosexual man, who failed first-line dual therapy with single intramuscular dose ceftriaxone 500 mg oral azithromycin 1 g. The was resistant to ceftriaxone, azithromycin, cefixime, cefotaxime, penicillin, tetracycline, ciprofloxacin, but susceptible spectinomycin. sample tested negative on test cure remained positive. O'Farrell2 also highlights increasing gonorrhoea resistance azithromycin. He postulates possible mechanism through use for Chlamydia treatment National Screening Programme (NCSP), inadvertent undiagnosed NG, as well 1 g combination NG treatment. Both letters remind us how important site-specific diagnoses are choice point out …