Fairy 23 year old pregnant female having severe sensitivity to amoxicillin drug used to treat Gonorrhea in a single dose should be: (A) Ceftriaxone, (B) Tetracycline, (C) Ciprofloxacin, (D) Spectinomycin
Answer is D. Ref-Katzung 10/e p761,762 Ceftriaxone is contraindicated in patients having severe allergy to penicillins. Tetracvclines are not etfective against gonorrhoea. Although ciprotloxacin is etfective as a single dose treatment ot gonorrhoea but it is contraindicated in pregnancy. Spectinomycin can be given as single dose treatment of PPNG.