Acute gonococcal urethritis is usually a symptomatic infection in males. Most men will present within one or two weeks after an exposure with symptoms of urethral discharge and dysuria. Early diagnosis is possible in genitourinary medicine clinics with typical signs and symptoms along with microscopy awaiting confirmation by culture and sensitivities. We report a case of gonorrhoea in which we believe the symptoms were masked due to regular use of steroids in a body builder.
HandsfieldHHLipmanTHarnischJPTrancaEHolmesKK. Asymptomatic gonorrhoea in men: Diagnosis, natural course, prevalence and significance. N Engl J Med1974;290:117–23