*Sexually Transmitted Diseases in Pediatrics DOI: http://dx.doi.org/10.5772/intechopen.107991*

a history sexually transmitted infections or history of substance abuse. A Gram stain of the conjunctival exudate will be very helpful for a strong suspicion under the finding of intracellular Gram-negative diplococci. This finding can justify the treatment for gonorrhea, appropriate cultures and antimicrobial susceptibility testing for Neisseria gonorrhoeae will be required.

Neonates can develop disseminated gonococcal infection that can be presented as sepsis, arthritis, or meningitis. It is a rare complication of neonatal gonococcal infection. Localized gonococcal infection of the scalp can result from fetal monitoring through scalp electrodes. Detecting gonococcal infection when suspected in neonates will require cultures of blood, cerebrospinal fluid, or joint aspirate. Positive Gramstained smears of different specimens are considered strong evidence for initiating treatment for Ng.

Another important consideration is neonates born to mothers with untreated gonorrhea. These neonates should be tested and treated for Ng.
