A 26-year-old male patient came to your clinic today complai…
A 26-year-old male patient came to your clinic today complaining from severe burning sensation during urination and dysuria for 4 days. He states he has been suffering from penile discharge and testicular tenderness. He has a history of multiple heterosexual relationships with a last contact 2 days ago. On physical examination, vital signs show: blood pressure 110/79, pulse 75, and temperature 37.6°C. There is mucopurulent cloudy discharge from urethra (see photo). There are soft, fleshy, raised lesions on the glans and prepuce. You obtain a positive culture and gram stain of discharge shows gram negative diplococci and WBCs. Based on the most likely differential diagnosis, what is the most likely differential diagnosis and should this condition be reported to the Health Department per the CDC guidelines?