Answer 4 C. trachomatis. Patients with gonorrhea should be routinely treated for chlamydia. Among patients gonorrheal infection, nearly half also have chlamydial infection. This patient had coinfection with gonorrhea and chlamydia. Untreated infection with C. trachomatis is the most common cause of postgonococcal urethritis. T. pallidum is causative organism in syphilis, H. ducreyi is the causative organism in chancroid, and K. granulomatis is the causative organism in donovanosis (also known as granuloma inguinale). Syphilis, chancroid, and granuloma inguinale would not present with a urethral discharge. Click here to return to the questions
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