A 23-year-old man who had sex with a woman 1 week prior is evaluated in a clinic for symptoms of urethral discharge. Physical examination shows evidence of a mucopurulent discharge (Figure 1). A first-void urine leukocyte esterase test is positive, but the clinic does not have the capacity for point-of-care staining of urethral secretions. A nucleic acid amplification test (NAAT) is sent for Neisseria gonorrhoeae and Chlamydia trachomatis, and the result is pending. He weighs 86 kg.
At this point, which one of the following should be recommended for the treatment of urethritis in this individual?

Figure 1. Urethral Discharge
Photograph credit: Negusse Ocbamichael, PA; Public Health—Seattle & King County STD Clinic
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Question Last Updated
March 14th, 2025
March 14th, 2025
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