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.

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2013-12-01
2020-08-11
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