The Case: Oliver Klozoff and the Foreign Liaison
Oliver Klozoff, a 27-year-old CEO consults with you, complaining of dysuria following a trip abroad for business. Bother he and his wife Emma are patients of the practice. Investigation reveals the presence of a Chlamydia infection. At your next appointment you suggest that Oliver should tell Emma about this problem, because if she is not diagnosed, treated and followed up she could suffer long term harm. Oliver refuses, saying that their marriage is already in difficulty and this would be the ‘final straw’. He also refuses to use condoms because he feels that Emma would be suspicious. When you challenge him about the threat to the health of Emma, he asks you to take a swab from her on some pretext, and then treat any infection that you discover.