Emerging sexually transmitted pathogen

Aetiology

• There are concerns it has the potential to become a 'superbug' due to high levels of macrolide resistance

Clinical features

• The presentation is very similar to chlamydia, and patients may be infected with both organisms
• Urethritis is a key feature

Investigations

• NAAT:
  • First urine sample in the morning for men
  • Vaginal swabs (can be self-taken) for women

Management

• Doxycycline 100 mg BD for seven days; or
• Azithromycin 1 g as a single dose, then 500 mg daily for two more days