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title: The First Case of Drug-Resistant Gonorrhea Was Confirmed
description: The first case of multi-drug-resistant gonorrhea has been confirmed in the U.K. It did not respond to azithromycin or ceftriaxone.
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author: Jamie Ducharme
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article:published_time: 2018-03-30T15:17:12.000Z
article:modified_time: 2026-02-23T19:49:56.742Z
article:section: Health
og:title: The World’s First Case of Drug-Resistant ‘Super Gonorrhea’ Has Been Confirmed
og:description: It did not respond to multiple drugs
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twitter:title: The World’s First Case of Drug-Resistant ‘Super Gonorrhea’ Has Been Confirmed
twitter:description: It did not respond to multiple drugs
twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltc95ff195039e0a2a/6987788d06f2c104f33333f0/condom-sex-4.jpg?branch=production&amp;width=3840&amp;quality=75&amp;auto=webp&amp;crop=16:9
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# The World’s First Case of Drug-Resistant ‘Super Gonorrhea’ Has Been Confirmed

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## Video: Untreatable Gonorrhea is Spreading. Here's What You Need to Know

[Watch (HLS stream): Untreatable Gonorrhea is Spreading. Here's What You Need to Know](https://cdn.jwplayer.com/manifests/eTVCaayf.m3u8) (1:41)

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_Published 2017-11-01. As drug-resistant gonorrhea rapidly spreads around the world, one team of researchers may have a strategy to combat it_


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## Jamie Ducharme


Ducharme is a contributor to TIME.

Mar 30, 2018 3:17 PM UTC

![TIME.com stock photos Condoms Sex](https://static.time.com/v3/assets/bltea6093859af6183b/bltc95ff195039e0a2a/6987788d06f2c104f33333f0/condom-sex-4.jpg?branch=production&width=3840&quality=75&auto=webp&crop=3:2)

Elizabeth Renstrom for TIME

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## Jamie Ducharme


Ducharme is a contributor to TIME.

Mar 30, 2018 3:17 PM UTC

The world’s first confirmed case of multi-drug-resistant gonorrhea has been reported in the U.K., [according to public health officials](https://www.gov.uk/government/uploads/system/uploads/attachment%5Fdata/file/694655/hpr1118%5FMDRGC.pdf).

Health experts have expressed [concern for some time](http://time.com/4848887/gonorrhea-untreatable-antibiotic-resistance/) about the [rise of drug-resistant strains](http://time.com/5003744/gonorrhea-treatment-antibiotic-resistance/) of the sexually transmitted infection (STI). Still, even as gonorrhea strains begin to evade certain antibiotics, doctors have usually been able to treat the disease using some combination of commonly used medications — until now.

The U.K. patient — a heterosexual man who reported one regular female sexual partner in the U.K., and one in Southeast Asia about a month before symptom onset — has the world’s first confirmed case of gonorrhea that is resistant to both drugs commonly used to treat it, according to a case report from the U.K.’s public health department. His disease did respond to either azithromycin, an antibiotic frequently used against gonorrhea, or ceftriaxone, which the [World Health Organization (WHO) calls](http://www.who.int/mediacentre/news/releases/2017/Antibiotic-resistant-gonorrhoea/en/) the “current last-resort treatment.” He was also treated with the antibiotic spectinomycin, the report adds.

“This report is one more confirmation of our greatest fear: drug-resistant gonorrhea spreading around the globe,” David Harvey, executive director of the National Coalition of STD Directors, [told CNN](https://www.cnn.com/2018/03/28/health/uk-man-multidrug-resistant-gonorrhea-intl/index.html).

The patient, who first sought medical care in early 2018, is being treated with an intravenous course of ertapenem, a powerful antibiotic typically used, at least in the U.S., for “serious infections in hospitalized patients,” [according to the National Institutes of Health](https://livertox.nih.gov/Ertapenem.htm). The results of his next test are expected in mid-April.

Gonorrhea is one of the world’s most common STIs, affecting 78 million people globally each year, according to the WHO. The disease — complications from which can cause pelvic inflammatory disease, ectopic pregnancy, infertility and an increased risk of HIV infections — is also common in the U.S. A September [report from the Centers for Disease Control and Prevention](http://time.com/4959040/std-testing-cdc/) estimated that 470,000 Americans were diagnosed with gonorrhea in 2016 alone — making the prospect of untreatable strains all the more concerning.

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