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First, if the solution has become contaminated with bacteria due to improper storage of a multi-dose vial, injection carries a risk of infection

Key Takeaways Pharyngeal gonorrhea and chlamydia infections occur in 3-7% of sexually active adults but remain asymptomatic in 90% of cases, making the cobblestone appearance a key visual diagnostic clue

Sterile process Lyophilised under sterile clean-room conditions

Monitoring: Follow fracture healing with serial X-rays (typically 2-4 week intervals standard care)