March 15, 2012 — An azithromycin-resistant variant of gonorrhea that developed in just 12 days was detected with genotyping and highlights the rapid emergence of clinical gonococcal resistance, according to a new report. Olusegun Soge, PhD, from the Neisseria Reference Laboratory at the University of Washington, in Seattle, reported the findings at the 2012 National STD Prevention Conference, held in Minneapolis, Minnesota. According to Dr. Soge and colleagues, the US Centers for Disease Control and Prevention (CDC) recommends dual therapy with ceftriaxone and azithromycin for the treatment of gonorrhea. "Although azithromycin has been effective for the treatment of gonorrhea, azithromycin monotherapy is not recommended because of concerns about rapid emergence of macrolide resistance," the authors write. The report describes the development of resistance to azithromycin in a 26-year-old man with gonococcal urethritis confirmed by culture. The patient received oral...