Sex Transm Infect 77:391-392 doi:10.1136/sti.77.5.391-a

Substantial increase in gonorrhoea among homosexual men attending an STD centre in Toulouse, France

  1. N Spenatto,
  2. R Viraben
  1. STD Center (CDMST), Hopital La Grave, Place Lange, 31052 Toulouse Cedex, France
  1. Dr Spenatto
  • Accepted 26 June 2001

Editor,—A substantial increase in cases of gonorrhoea in an STD centre in Toulouse, France, was noted between October 1999 and September 2000. It was associated both with predominant transmission in a homosexual population with oral sex practices and high HIV seroprevalence.

Approximately 8500 patients are seen annually at the Hospital La Grave STD centre; this number has remained stable in the last 10 years. Almost 20–25% of patients complain of STD symptoms and 5–6% of the men are defined as homosexual.

Between October 1999 and September 2000, 41 gonorrhoea episodes in 33 patients were diagnosed. Thirty (81%) cases were male; among the male population, 25 (83.3%) patients described homosexual contact. There were three cases …