Treatment of Acute Gonorrhea

salpinx, arthritis, tenosynovitis, endocarditis, and in peritonitis requires more than the simple cover-glass examination and the application of Gram's method of staining.In these conditions the pathologist demands that the suspected organism be isolated in pure culture and its peculiarities in cultures shown to agree with the well-known peculiarities of the gonococcus.If cultures are not applied, the results of cover-glass ex- aminations, although agreeing with the idea that the gonococcus is present, amounts from a scientific stand- point to little more than a probability.In other words, it does not suffice to prove that a given case of arthritis is due to infection with the gonococcus by showing that Gram decolorizing cocci inside of pus cells are present in the exúdate, but it must be shown in addition to this that these cocci will grow only on special culture media and it must be rigidly deter- mined that they will not grow on ordinary culture media.