{"id":86,"date":"2025-08-01T21:04:37","date_gmt":"2025-08-01T21:04:37","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=86"},"modified":"2025-08-02T21:17:16","modified_gmt":"2025-08-02T21:17:16","slug":"gonococcie-blennorragie-infection-a-neisseria-gonorrhoeae","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/infections-sexuellement-transmissibles-ist-dorigine-bacterienne\/gonococcie-blennorragie-infection-a-neisseria-gonorrhoeae\/","title":{"rendered":"\ud83e\udda0 Gonococcie (Blennorragie) \u2013 Infection \u00e0 Neisseria gonorrhoeae"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\ud83d\udd0d <strong>Qu\u2019est-ce que la gonococcie ?<\/strong><\/h2>\n\n\n\n<p>La gonococcie, aussi appel\u00e9e <strong>blennorragie<\/strong>, est une <strong>IST bact\u00e9rienne aigu\u00eb<\/strong> caus\u00e9e par <em>Neisseria gonorrhoeae<\/em>. Elle touche les <strong>muqueuses g\u00e9nitales<\/strong>, mais peut \u00e9galement atteindre le <strong>rectum, la gorge, les yeux et les articulations<\/strong>.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>C\u2019est une infection <strong>tr\u00e8s contagieuse<\/strong>, transmissible lors de rapports sexuels non prot\u00e9g\u00e9s.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddec <strong>Mode de transmission<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Rapports sexuels vaginaux, anaux ou oraux non prot\u00e9g\u00e9s<\/li>\n\n\n\n<li>Transmission m\u00e8re-enfant lors de l\u2019accouchement (risque d\u2019ophtalmie n\u00e9onatale)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u26a0\ufe0f <strong>Sympt\u00f4mes<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Chez l\u2019homme (le plus souvent symptomatique) :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9coulement ur\u00e9tral purulent (jaun\u00e2tre ou verd\u00e2tre)<\/li>\n\n\n\n<li>Br\u00fblures \u00e0 la miction<\/li>\n\n\n\n<li>Douleur testiculaire ou au niveau du p\u00e9nis<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Chez la femme (souvent asymptomatique) :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pertes vaginales abondantes<\/li>\n\n\n\n<li>Br\u00fblures urinaires<\/li>\n\n\n\n<li>Saignements intermenstruels<\/li>\n\n\n\n<li>Douleurs pelviennes<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Autres formes :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Anale<\/strong> : douleurs, \u00e9coulement rectal, prurit<\/li>\n\n\n\n<li><strong>Pharyng\u00e9e<\/strong> : souvent asymptomatique<\/li>\n\n\n\n<li><strong>Oculaire<\/strong> : conjonctivite purulente s\u00e9v\u00e8re<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea <strong>Diagnostic<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Test PCR<\/strong> sur pr\u00e9l\u00e8vement ur\u00e9tral, vaginal, pharyng\u00e9 ou rectal<\/li>\n\n\n\n<li><strong>Antibiogramme recommand\u00e9<\/strong> en cas de suspicion de r\u00e9sistance<\/li>\n\n\n\n<li>D\u00e9pistage souvent coupl\u00e9 avec <strong>Chlamydia<\/strong>, VIH, syphilis<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc8a <strong>Traitement<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Antibioth\u00e9rapie recommand\u00e9e selon les derni\u00e8res directives (OMS, CDC) :<\/li>\n\n\n\n<li>Traitement du ou des <strong>partenaires<\/strong><\/li>\n\n\n\n<li>Abstinence sexuelle pendant 7 jours apr\u00e8s traitement<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Le traitement doit \u00eatre <strong>rapide pour \u00e9viter les complications<\/strong> et <strong>limiter la transmission<\/strong>.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u2757 <strong>Complications possibles si non trait\u00e9e<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chez la femme : salpingite, st\u00e9rilit\u00e9, grossesse extra-ut\u00e9rine<\/li>\n\n\n\n<li>Chez l\u2019homme : \u00e9pididymite, prostatite<\/li>\n\n\n\n<li>Formes diss\u00e9min\u00e9es : arthrite septique, dermatite, endocardite<\/li>\n\n\n\n<li>Infection n\u00e9onatale grave (ophtalmie gonococcique)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddd1\ud83c\udffd\u200d\u2695\ufe0f <strong>Prise en charge au cabinet du Dr Hadi HAKIM<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Consultation discr\u00e8te<\/li>\n\n\n\n<li>Pr\u00e9l\u00e8vements cibl\u00e9s<\/li>\n\n\n\n<li>Antibioth\u00e9rapie adapt\u00e9e<\/li>\n\n\n\n<li>Suivi de l\u2019efficacit\u00e9 du traitement<\/li>\n\n\n\n<li>Pr\u00e9vention et \u00e9ducation sexuelle<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udcc5 <strong>D\u00e9pistage recommand\u00e9 si :<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Partenaire multiple ou nouveau<\/li>\n\n\n\n<li>Sympt\u00f4mes \u00e9vocateurs<\/li>\n\n\n\n<li>IST r\u00e9cente ou co-infection<\/li>\n\n\n\n<li>Avant une grossesse ou PMA<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udcde <strong>Prenez rendez-vous pour un d\u00e9pistage confidentiel<\/strong><\/h3>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp s\u00e9curis\u00e9<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie, Laser &amp; Esth\u00e9tique \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ud83d\udd0d Qu\u2019est-ce que la gonococcie ? La gonococcie, aussi appel\u00e9e blennorragie, est une IST bact\u00e9rienne aigu\u00eb caus\u00e9e par Neisseria gonorrhoeae. Elle touche les muqueuses g\u00e9nitales, mais peut \u00e9galement atteindre le rectum, la gorge, les yeux et les articulations. C\u2019est une infection tr\u00e8s contagieuse, transmissible lors de rapports sexuels non prot\u00e9g\u00e9s. \ud83e\uddec Mode de transmission \u26a0\ufe0f [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":214,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-86","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/86","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/comments?post=86"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/86\/revisions"}],"predecessor-version":[{"id":87,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/86\/revisions\/87"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/214"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=86"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}