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Neisseria Meningitidis Urethritis: A Case Report Highlighting Clinical Similarities to and Epidemiological Differences From Gonococcal Urethritis

Katz, Alan R. MD*†; Chasnoff, Rachelle RN; Komeya, Alan MPH; Lee, Maria Veneranda C. MS

Sexually Transmitted Diseases: May 2011 - Volume 38 - Issue 5 - p 439-441
doi: 10.1097/OLQ.0b013e3181ffa7dc
Case Report

An adult male presented to the Hawaii Health Department with a purulent urethral discharge. Urethral Gram stain examination led to a presumptive gonorrhea diagnosis even though his sexual history was nonsupportive. Culture results identified Neisseria meningitidis. This case report highlights the clinical similarities and differing epidemiology of these Neisseria urethritides.

The clinical presentation of Neisseria meningitidis urethritis is virtually identical to urethritis caused by Neisseria gonorrhoeae, however, the epidemiology is vastly different as highlighted by this case report.

From the *Department of Public Health Sciences, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI; and †Diamond Head Health Center, STD/AIDS Prevention Branch, Hawaii State Department of Health, Honolulu, HI

The authors thank Gail Kunimoto and Eloisa Maningas, Medical Microbiology Branch, HI Department of Health, State Laboratories Division for laboratory support.

Correspondence: Alan R. Katz, MD, Department of Public Health Sciences, John A. Burns School of Medicine, University of Hawaii, 1960 East-West Rd, Biomedical Sciences Bldg, Room D104M, Honolulu, HI 96822. E-mail:

Received for publication August 4, 2010, and accepted September 28, 2010.

© Copyright 2011 American Sexually Transmitted Diseases Association