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What Does This Gram Stain Report Indicate?

Posted on Sat, 30 Jul 2016

Question: Need help with Gram stain. I am male.
It was a swab test done to check for STDs.
I had male-female heterosexual unprotected sex about a week ago.
Results for HIV, Chlamydia, Syphilis, Hepatitis were all negative.
I have no painful urination or discharge but small little bumps on my penis.

Few plus cells
Rare epithelial cells
Rare gram (+) cocci in pairs
Ocassional gram (+) bacilli

Am I dying?

Answered by Dr. Rahul Tawde (1 hour later)

Brief Answer:
Please provide the full report for gram staining

Detailed Answer:
Hi,

I have gone through your medical history carefully and understood your concern.

Can you please provide a full report of gram staining you had?

From the gram stain report you provided, there is nothing to make me think of you dying.

Pus cells, gram positive cocci and bacilli are indicating a normal skin flora. If you have symptoms, possible common genital infection of low severity, possible staphylococci could be confirmed by culture.

Thank you.
Dr.Sejdini

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Rahul Tawde (1 hour later)

I uploaded the report. Note that the gender is wrong. It should be MALE. I am MALE.

What treatment can I get for staphylococci? What medicine and regimen? Would 1000 mg of Azithromyocin work? Please prescribe a prescription.

Answered by Dr. Rahul Tawde (29 hours later)

Brief Answer:
Detailed below....

Detailed Answer:
Hi back,

Sorry for the late reply but I was waiting for the reports to be in. Unfortunately, nothing was uploaded. Can you please resend at following email address:
YYYY@YYYY

with subject line:"Attn. to Dr.Fatbardha Sejdini"

Azythromycine can work. But if I was your caring doctor would advise to run a swab culture in order to determine the most susceptible antibiotics.

Unfortunately, we cannot provide online prescriptions, please refer to our terms and conditions rules.

Thank you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Rahul Tawde (10 hours later)

Reports attached

I already did a swab test. Why would I do another one? That's a bit ridiculous. I underwent blood tests and swab tests to test for all these STIs.

If there is an indication of infection please tell me what medicine would be recommended.

Answered by Dr. Rahul Tawde (1 hour later)

Brief Answer:
Details below

Detailed Answer:
Hi back,

Thank you for providing the complete test report.

1. The specimen used for gram stain was urethral discharge. Urethral swab was done for diagnosing urethritis.
Gram positive cocci are spherical in shape and are stained purple color in gram stain test, while gram positive bacilli are rods in shape staining the same. Pus cells are blood cells of white strain indicating inflammation as their presence is rare.

If the other tests for STDs resulted negative, and you do not have any symptomhen, then your actual staining test is normal result.

In case you have symptoms, culture of urethral discharge is recommended. To make it have a sense and not sounded ridiculous to you, please take note:
- staining and culture are 2 different tests. If we want to confirm a diagnosis we ask for culture although staining is negative.

If you have symptoms if urethritis, and urine test was negative, then can take antibiotics. Otherwise, only antiinflammatory meds and keeping good hygiene is recommended.

Remember to use always protection when having sex to protect your self.

All the best.
Dr.Sejdini

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Nagamani Ng