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[Pseudomonas aeruginosa infection presenting as gonorrhea]
I Schugt1, P Altmeyer, N H Brockmeyer
1Klinik für Dermatologie und Allergologie des St. Josef-Hospital Bochum, Bochum.
Summary
A rare case of Pseudomonas aeruginosa causing urethritis with purulent discharge in an ambulatory patient was successfully treated with gyrase inhibitors, highlighting challenges in antibiotic resistance.
Area of Science:
- Urology
- Infectious Diseases
- Microbiology
Background:
- Pseudomonas aeruginosa is a Gram-negative bacterium frequently implicated in nosocomial infections.
- Antibiotic resistance is a significant challenge in treating P. aeruginosa infections.
- Urogenital infections caused by P. aeruginosa in ambulatory patients are uncommon, especially with gonorrhea-like symptoms.
Observation:
- A 68-year-old male presented with urethritis and purulent discharge, initially suspected as gonorrhea.
- The patient had a history of multiple prior antibiotic treatments.
- Microbiological investigation identified Pseudomonas aeruginosa as the causative agent.
Findings:
- The patient's infection was successfully treated with gyrase inhibitors, guided by antibiotic sensitivity testing.
- This case underscores the potential for P. aeruginosa to cause atypical urogenital infections in the community setting.
Implications:
- Highlights the importance of comprehensive microbiological investigation for recalcitrant urogenital infections.
- Demonstrates the efficacy of gyrase inhibitors in treating P. aeruginosa urogenital infections.
- Suggests a need for increased awareness of P. aeruginosa as a potential pathogen in non-nosocomial urogenital infections.