1887

Abstract

The primary pathogens found in men with urethritis are and . Rapid diagnosis of infection can be made based on a Gram- or methylene blue-stained urethral smear. We describe a case of a man with purulent penile discharge, in which microscopic examination led to the presumptive diagnosis of gonorrhoea. A nucleic acid amplification test was negative for but positive for . Culture showed Gram-negative diplococci which were identified as . can be sporadically pathogenic in the genito-urinary tract and mimicks gonococcal urethritis, and appears identical by microscopy. When a gonococcal urethritis is suspected based on clinical signs and microscopic examination, but investigatory tests cannot confirm the diagnosis, a infection should be considered.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.059378-0
2013-12-01
2019-10-22
Loading full text...

Full text loading...

/deliver/fulltext/jmm/62/12/1905.html?itemId=/content/journal/jmm/10.1099/jmm.0.059378-0&mimeType=html&fmt=ahah

References

  1. Bignell C., Fitzgerald M..Guideline Development GroupBritish Association for Sexual Health and HIV UK ( 2011;). UK national guideline for the management of gonorrhoea in adults, 2011. . Int J STD AIDS 22:, 541–547. [CrossRef][PubMed]
    [Google Scholar]
  2. Hook E. W. III, Handsfield H. H.. ( 2008;). Gonococcal infections in the adult. . In Sexually Transmitted Diseases, , 4th edn., pp. 627–645. Edited by Holmes K. K., Sparling P. F., Stamm. New York W. E.., NY:: McGraw-Hill;.
    [Google Scholar]
  3. Katz A. R., Chasnoff R., Komeya A., Lee M. V.. ( 2011;). Neisseria meningitidis urethritis: a case report highlighting clinical similarities to and epidemiological differences from gonococcal urethritis. . Sex Transm Dis 38:, 439–441. [CrossRef][PubMed]
    [Google Scholar]
  4. Murray E. G. D.. ( 1939;). Meningococcus infections of the male urogenital tract and the liability to confusion with gonococcus. . Urol Cutaneous Rev 43:, 739–741.
    [Google Scholar]
  5. Nebreda T., Campos A., Merino F. J.. ( 1999;). Urethritis caused by Neisseria meningitidis serogroup C. . Clin Microbiol Infect 5:, 57–60. [CrossRef][PubMed]
    [Google Scholar]
  6. Ng L. K., Martin I. E.. ( 2005;). The laboratory diagnosis of Neisseria gonorrhoeae. . Can J Infect Dis Med Microbiol 16:, 15–25.[PubMed]
    [Google Scholar]
  7. Parra-Sánchez M., Palomares J. C., Bernal S., González M. T., Sivianes N., Pérez L., Pueyo I., Martín-Mazuelos E.. ( 2012;). Evaluation of the cobas 4800 CT/NG Test for detecting Chlamydia trachomatis and Neisseria gonorrhoeae DNA in urogenital swabs and urine specimens. . Diagn Microbiol Infect Dis 74:, 338–342. [CrossRef][PubMed]
    [Google Scholar]
  8. Rosenstein N. E., Perkins B. A., Stephens D. S., Popovic T., Hughes J. M.. ( 2001;). Meningococcal disease. . N Engl J Med 344:, 1378–1388. [CrossRef][PubMed]
    [Google Scholar]
  9. Taylor S. N., DiCarlo R. P., Martin D. H.. ( 2011;). Comparison of methylene blue/gentian violet stain to Gram’s stain for the rapid diagnosis of gonococcal urethritis in men. . Sex Transm Dis 38:, 995–996. [CrossRef][PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/jmm.0.059378-0
Loading
/content/journal/jmm/10.1099/jmm.0.059378-0
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error