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Acute urethritis due to Neisseria meningitidis group A acquired by orogenital contact: case report
1Department of Microbiology, Whittington Hospital, London.
Genitourinary Medicine
|April 1, 1989
Abstract:
A case of heterosexual transmission of Neisseria meningitidis group A by fellatio, which resulted in acute purulent urethritis in the male partner, is presented. The emotional impact of a mistaken diagnosis of gonococcal infection and the need to treat asymptomatic throat carriage in sexual contacts makes early recognition of meningococcal infection important in this unusual circumstance.
Insights
Neisseria meningitidis can spread heterosexually through oral sex, causing urethritis. Early diagnosis is crucial to prevent misdiagnosis and treat sexual contacts, even if asymptomatic.
Area of Science:
- Infectious Diseases
- Microbiology
- Sexual Health
Background:
- Neisseria meningitidis is a bacterium primarily known for causing meningitis.
- Sexual transmission of Neisseria meningitidis is uncommon but possible.
- Urethritis is an inflammation of the urethra, often caused by sexually transmitted infections.
Observation:
- A case of heterosexual transmission of Neisseria meningitidis group A was observed.
- Transmission occurred via fellatio (oral sex).
- The male partner developed acute purulent urethritis.
Findings:
- This case demonstrates Neisseria meningitidis group A can be sexually transmitted.
- The infection presented as acute purulent urethritis in the male recipient.
- Mistaken diagnosis as gonococcal infection can occur.
Implications:
- Highlights the importance of considering Neisseria meningitidis in cases of urethritis, especially with a history of oral sex.
- Emphasizes the need for early and accurate diagnosis to avoid emotional distress from misdiagnosis.
- Underscores the necessity of treating asymptomatic throat carriage in sexual contacts to prevent further spread.