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
2024-04-20
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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 [View Article][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 [View Article][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 [View Article][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 [View Article][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 [View Article][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 [View Article][PubMed]
    [Google Scholar]
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