Neisseria Meningitidis Urethritis in a Thai Male

Jaray Tongtoyai, Nongkran Tatakham, Thitima Cherdtrakulkiat, Pachara Sirivongrangson, Andrew Hickey

Abstract

Although Neisseria meningitidis (N. meningitidis) urogenital infections have been reported widely, meningococcal urethritis has not been reported previously in Thailand. A 42-year-old Thai male presented at a sexual health clinic with dysuria and urethral discharge following oral and insertive anal intercourse. N. meningitidis, serogroup C was cultured from a urethral discharge specimen and the patient was treated successfully with standard treatment for gonococcal urethritis. This case reflects a growing trend of reports describing meningococcal urethritis, likely resulting from sexual contact.

 Keywords

meningococcal urethritis; men who have sex with men; Neisseria meningitidis; urethritis

 Full Text:

PDF

References

van Kessel F, van den Ende C, Oordt-Speets AM, Kyaw MH. Outbreaks of meningococcal meningitis in non-African countries over the last 50 years: a systematic review. J Glob Health 2019;9:010411.

Bazan JA, Peterson AS, Kirkcaldy RD, Briere EC, Maierhofer C, Turner AN, et al. Notes from the field: increase in Neisseria meningitidis-associated urethritis among men at two sentinel clinics - Columbus, Ohio, and Oakland County, Michigan, 2015. MMWR Morb Mortal Wkly Rep 2016;65: 550-2.

Bazan JA, Turner AN, Kirkcaldy RD, Retchless AC, Kretz CB, Briere E, et al. Large Cluster of Neisseria meningitidis Urethritis in Columbus, Ohio, 2015. Clin Infect Dis 2017;65:92-9.

Hay PE, Murphy SM, Chinn RJ. Acute urethritis due to Neisseria meningitidis group A acquired by oro-genital contact: case report. Genitourin Med 1989;65:285-6.

Katz AR, Chasnoff R, Komeya A, Lee MV. Neisseria meningitidis urethritis: a case report highlighting clinical similarities to and epidemiological differences from gonococcal urethritis. Sex Transm Dis 2011;38:439-41.

Genders RE, Spitaels D, Jansen CL, van den Akker TW, Quint KD. A misleading urethral smear with polymorphonuclear leucocytes and intracellular diplococci; case report of urethritis caused by Neisseria meningitidis. J Med Microbiol 2013;62: 1905-6

Hayakawa K, Itoda I, Shimuta K, Takahashi H, Ohnishi M. Urethritis caused by novel Neisseria meningitidis serogroup W in man who has sex with men, Japan. Emerg Infect Dis 2014;20: 1585-7.

Folaranmi TA, Kretz CB, Kamiya H, MacNeil JR, Whaley MJ, Blain A, et al. Increased risk for meningococcal disease among men who have sex with men in the United States, 2012-2015. Clin Infect Dis 2017;65:756-63.

Bureau of AIDS TB and STIs, Department of Disease Control, Ministry of Public Health of Thailand. Guidelines for the treatment of sexually transmitted diseases 2015. Bangkok: Bangrak STIs Cluster; 2015.

Karolus JJ, Gandelman AL, Nolan BA. Urethritis caused by Neisseria meningitidis. J Clin Microbiol 1980;12:284-5.

Kahler CM. Emergence of a urogenital pathotype of Neisseria meningitidis. Trends Microbiol 2017;25:510-2.

Gutierrez-Fernandez J, Medina V, Hidalgo-Tenorio C, Abad R. Two cases of Neisseria meningitidis proctitis in HIV-positive men who have sex with men. Emerg Infect Dis 2017;23:542-3.

Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015;64:1- 137.

Borrow R, Findlow J, Gray S, Taylor S, Kaczmarski E. Safe laboratory handling of Neisseria meningitidis. J Infect 2014;68: 305-12.

Kratz MM, Weiss D, Ridpath A, Zucker JR, Geevarughese A, Rakeman J, et al. Community-based outbreak of Neisseria meningitidis serogroup C infection in men who have sex with men, New York City, New York, USA, 2010-2013. Emerg Infect Dis 2015;21:1379-86.

DOI: http://dx.doi.org/10.31584/jhsmr.2020773

Refbacks

  • There are currently no refbacks.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.