Abstract
A case of disseminated gonococcal infection in which the gonococcus was isolated from the blood and genitalia and the meningococcus from the throat is described. A second patient, in whom the meningococcus was isolated from the throat and the gonococcus from the genitals but in whom no organisms were recovered from the blood, had lesions resembling those of a disseminated infection. The results of 150 throat cultures from patients who were examined at a clinic because they had a history of oral sexual intercourse are presented. The meningococcus was isolated nearly six times more often in patients with genital gonorrhoea than in those in whom genital cultures were negative, while the gonococcus was found 2 1/2 times more often in those who carried the meningococcus in the throat than in those who did not. If these findings can be confirmed it could indicate an individual susceptibility to the acquisition of Neisserian organisms that would merit further investigation.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Carpenter C. M., Charles R. Isolation of Meningococcus from the Genitourinary Tract of Seven Patients. Am J Public Health Nations Health. 1942 Jun;32(6):640–643. doi: 10.2105/ajph.32.6.640. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Feldman H. A. Meningococcus and gonococcus: never the Twain--well, hardly ever. N Engl J Med. 1971 Aug 26;285(9):518–520. doi: 10.1056/NEJM197108262850914. [DOI] [PubMed] [Google Scholar]
- Flynn J., Waitkins S. A. A serum-free medium for testing fermentation reactions in Neisseria gonorrhoeae. J Clin Pathol. 1972 Jun;25(6):525–527. doi: 10.1136/jcp.25.6.525. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Handsfield H. H. Disseminated gonococcal infection. Clin Obstet Gynecol. 1975 Mar;18(1):131–142. doi: 10.1097/00003081-197503000-00012. [DOI] [PubMed] [Google Scholar]
- IKEJIANI O. Gonococcal meningitis: a review of literature and report of a case. West Afr Med J. 1958 Sep;7(3):139–142. [PubMed] [Google Scholar]
- Keys T. F., Hecht R. H., Chow A. W. Endocervical Neisseria meningitidis with meningococcemia. N Engl J Med. 1971 Aug 26;285(9):505–506. doi: 10.1056/NEJM197108262850910. [DOI] [PubMed] [Google Scholar]
- Phillips I., Humphrey D., Middleton A., Nicol C. S. Diagnosis of gonorrhoea by culture on a selective medium containing vancomycin, colistin, nystatin and trimethoprim (VCNT). A comparison with Gram-staining and immunofluorescence. Br J Vener Dis. 1972 Aug;48(4):287–292. doi: 10.1136/sti.48.4.287. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Taubin H. L., Landsberg L. Gonococcal meningitis. N Engl J Med. 1971 Aug 26;285(9):504–505. doi: 10.1056/NEJM197108262850909. [DOI] [PubMed] [Google Scholar]
- Wiesner P. J., Tronca E., Bonin P., Pedersen A. H., Holmes K. K. Clinical spectrum of pharyngeal gonococcal infection. N Engl J Med. 1973 Jan 25;288(4):181–185. doi: 10.1056/NEJM197301252880404. [DOI] [PubMed] [Google Scholar]