The oral manifestations of gonorrhea are most commonly seen in people who have oral sex, and are characterized by acute pharyngitis, sore throat, and purulent discharge from the pharynx. It is mainly caused by oral infection with gonococcus during sexual contact. Neisseria gonorrhoeae is more likely to invade the mucosa and can multiply within the epithelium, thus destroying the oral epithelium and causing a localized inflammatory response, leading to localized redness, swelling and heat. Oral gonorrhea may present with acute pharyngitis, sore throat, occasionally accompanied by fever, cervical lymph node swelling and painful swallowing. In addition, some patients with gonorrhea may also have a more severe gonococcal infection in the oral cavity, resulting in ulcers in the pharynx, leading to purulent discharge from the pharynx. If you are diagnosed with gonorrhea, you should seek medical treatment as soon as possible to avoid aggravating the condition and causing adverse effects.