Urethritis caused by neisseria meningitidis: a case report
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M Quarto1, S Barbuti, C Germinario
1Institute of Hygiene, University of Bari, Italy.
Abstract:
Isolation of N. meningitidis from the male urethra has become more common in recent years and this has been attributed to sexual activities and changes in social attitudes. We describe a further case of acute urethritis caused by transmission of N. meningitidis occurring after a single sexual contact (fellatio) in a heterosexual man. The urethritis was initially diagnosed as being caused by N. gonorrhoeae on a presumptive basis, then attributed to N. meningitidis serogroup Y. This case shows the need of accurate diagnostic procedures in all cases resembling gonococcal urethritis.
Insights
Neisseria meningitidis urethritis is increasingly reported, often linked to sexual contact. This case highlights the importance of accurate diagnostics for urethritis, even when symptoms mimic gonorrhea.
Area of Science:
- Urology
- Infectious Diseases
- Microbiology
Background:
- Neisseria meningitidis (NM) isolation from the male urethra is rising, linked to sexual behaviors.
- NM urethritis is an emerging concern, necessitating a broader differential diagnosis.
Observation:
- A heterosexual man presented with acute urethritis after a single sexual contact (fellatio).
- Initial diagnosis was presumptive for Neisseria gonorrhoeae.
Findings:
- The urethritis was confirmed to be caused by Neisseria meningitidis serogroup Y.
- This case underscores the diagnostic challenge posed by NM mimicking gonococcal infections.
Implications:
- Accurate diagnostic methods are crucial for all suspected gonococcal urethritis cases.
- Clinicians should consider NM in the differential diagnosis of urethritis, especially with changing epidemiological trends.
- Improved diagnostic protocols can prevent misdiagnosis and ensure appropriate treatment for urethritis.