A 24-year-old sexually active man presents with dysuria and urethral discharge. Gram stain of the discharge reveals neutrophils but no gram-negative diplococci. What is the diagnosis and treatment?
Answer: Most likely nongonococcal urethritis caused by C. tmchomatis serotypes D-K. However, treat for all likely causes of urethritis—either doxycycline or azithromycin for C. trachomatis and Ureaplasma urealyticum, and ceftriaxone for N. gonorrhoeae.
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