Colonisation of the urethra with Streptococcus pneumoniae: a case report

A 25 year old man developed mild urethritis and urethral colonisation with Streptococcus pneumoniae five days after a single orogenital sexual contact. The diagnosis was suspected because of the appearance of Gram positive diplococci in the urethral exudate. The incidence of urethral infection with S pneumoniae is not known. Pneumococci are unlikely to grow on the routine selective media used to identify Neisseria gonorrhoeae.