Saw this article in the Straits Times this morning, and was reminded that I had wanted to follow up on the issue of drug resistance in Neisseria gonorrhoeae. There has not been a case of “super gonorrhoea” in Singapore to my knowledge, but it is a matter of time before such cases appear locally. Neisseria gonorrhoeae is […]

A photograph from a Gram stain of a urethral swab. The young man, recently married, had presented with penile discharge and a burning sensation during micturition for 2 days. He denied promiscuity. Question: What is the diagnosis and what is an appropriate course of management? [Update 30 Oct 2015] The Gram stain shows Gram-negative diplococci […]

The Department of Sexually Transmitted Infections Control (DSC) clinic is also colloquially known as Kelantan Clinic (and keying “kelantan clinic” into Google or other search engines leads you to the DSC Clinic website rather than any clinic within the Malaysian state of Kelantan), because it has been located at Kelantan Lane since its official launch […]

Interpretation of syphilis serological results is one of the more common reasons for referrals to infectious disease physicians in Singapore. Back in the restructured hospitals, syphilis serology was usually performed as part of a panel for patients with altered mental status, or occasionally for those with cerebrovascular accidents or peripheral neuropathy (because neurosyphilis may present with such features). […]