case_images: PMC8308951_01
case_images: A) vulval redness and greenish yellow discharge; B) gram stain shows intracellular diplococci
case_images: PAMJ-38-358-g001.jpg
case_images: PMC8308951_01_PAMJ-38-358-g001.jpg
case_images: F1
case_images: Venereological examination of the vulva and vaginal introitus showed vulvar erythema and greenish-yellow body discharge with negative whiff test (Figure 1A). Investigation in the form of examination of vaginal secretions with gram stain showed intracellular and extracellular gram-negative diplococci, with polymorphonuclear (PMN) leukocytes >25/LPB (Figure 1B).
case_images: primary multiplex PCR examination showed N. gonorrhoeae
case_images: PAMJ-38-358-g002.jpg
case_images: PMC8308951_01_PAMJ-38-358-g002.jpg
case_images: F2
case_images: The PCR examination of vaginal secretions identified Neisseria gonorrhoeae (Figure 2).
case_images: no more discharge was found after seven days of treatment
case_images: PAMJ-38-358-g003.jpg
case_images: PMC8308951_01_PAMJ-38-358-g003.jpg
case_images: F3
case_images: The vulva was not an erythematous vulva and no discharge was found (Figure 3).