San Francisco Chronicle

State sees spike in gonorrhea complicati­ons

- By Nanette Asimov

Doctors across California are reporting an unusual jump in painful symptoms from a very treatable disease: gonorrhea.

If left alone, the sexually transmitte­d pathogen can enter the bloodstrea­m and cause painful infections that typically hit joints but may also move to heart valves or to the fluid around the brain. Some complicati­ons are permanent. Untreated, gonorrhea can also be fatal, although California doctors have not reported deaths.

Instead, state public health officials have been surprised in recent months to see a spike in complicati­ons from gonorrhea — mainly swollen and painful joints — because the infection is easily treated with antibiotic­s. But the experts suspect that people are avoiding treatment and routine screenings because of the pandemic.

“I am very concerned that we are seeing completely preventabl­e complicati­ons of sexually transmitte­d disease infections that went undiagnose­d and untreated,” said Dr. Erica Pan, acting state public health officer. “STD

risk has not gone away.”

Pan urged certain groups to immediatel­y get tested for STDs, even if they have no symptoms: pregnant women, sexually active women up to age 25, men who have sex with men and people with HIV.

Those with symptoms should also be tested right away, Pan said.

Across the country, about 1.14 million cases of gonorrhea are diagnosed each year, according to the Centers for Disease Control and Prevention. About half of those cases occur in people ages 15 to 24.

The state health department is encouragin­g medical providers not only to familiariz­e themselves with all STDs, but also to routinely test patients for gonorrhea, HIV, hepatitis C and other sexually transmitte­d diseases.

Health officials are also reminding people that athome tests for STDs and HIV are newly available.

 ?? Scott Strazzante / The Chronicle ?? Dr. Erica Pan, acting state public health officer, is urging certain groups to get tested for STDs.
Scott Strazzante / The Chronicle Dr. Erica Pan, acting state public health officer, is urging certain groups to get tested for STDs.

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