Question

A male patient came to OPD with White Discharge from urethra [Image Shown]. What is the most probable organism involved

• A. Nisseria gonorrhoeae
• B. Haemophilus ducreyi
• C. Calymmatobacterium granulomatis
• D. Treponema pallidum

Answer 1

The Correct Option is A

The clinical presentation of white discharge from the urethra in a male patient suggests a sexually transmitted infection (STI). The most common cause of such a discharge is an organism that typically causes urethritis. The options provided need to be evaluated based on their association with specific types of discharge and clinical conditions:

• Nisseria gonorrhoeae: This bacterium is responsible for the sexually transmitted infection Gonorrhea, which is characterized by purulent (white or yellow) urethral discharge and dysuria (painful urination) in males. It is the most common organism associated with white discharge.
• Haemophilus ducreyi: Known for causing Chancroid, which presents as painful genital ulcers, not primarily associated with urethral discharge.
• Calymmatobacterium granulomatis: This bacterium causes Granuloma Inguinale (donovanosis), noted for painless genital ulcers, not urethral discharge.
• Treponema pallidum: The causative agent of Syphilis, characterized by a painless ulcer (chancre) during the primary stage and a rash or mucous membrane lesions in secondary stage, not specifically urethral discharge.

Given the information, Nisseria gonorrhoeae is most likely involved due to its well-established link with white urethral discharge in males. Prompt diagnosis and treatment are essential to prevent complications and transmission.