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Case ReportCase Report

Neisseria Gonorrhoeae Dissemination And Gonococcal Meningitis

Thomas J. Anan and Diane A. Culik
The Journal of the American Board of Family Practice April 1989, 2 (2) 123-125; DOI: https://doi.org/10.3122/jabfm.2.2.123
Thomas J. Anan
From the Department of Family Practice, Saint John Hospital, Detroit, Michigan. Address reprint requests to Thomas J. Anan, M.D., Department of Family Practice, 22151 Moross, Suite 334, Detroit, MI 48236.
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Diane A. Culik
From the Department of Family Practice, Saint John Hospital, Detroit, Michigan. Address reprint requests to Thomas J. Anan, M.D., Department of Family Practice, 22151 Moross, Suite 334, Detroit, MI 48236.
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Abstract

Disseminated infection is a serious complication in approximately 2 percent of primary gonococcal infections. Meningeal infection is very rare; only 23 cases have been reported since 1922. We report a sexually active teenager with an acute febrile illness. From her cerebrospinal fluid cultures, Neisseria gonorrhoeae was identified. She recovered completely after treatment with ceftriaxone and penicillin. Possible explanations for gonococcal dissemination include unique strains of the organism as well as particular complement deficiencies of the host. Aggressive efforts by physicians to prevent, identify, and treat primary gonococcal diseases should continue because this will reduce the frequency of serious complications.

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The Journal of the American Board of Family     Practice: 2 (2)
The Journal of the American Board of Family Practice
Vol. 2, Issue 2
1 Apr 1989
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Neisseria Gonorrhoeae Dissemination And Gonococcal Meningitis
Thomas J. Anan, Diane A. Culik
The Journal of the American Board of Family Practice Apr 1989, 2 (2) 123-125; DOI: 10.3122/jabfm.2.2.123

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Neisseria Gonorrhoeae Dissemination And Gonococcal Meningitis
Thomas J. Anan, Diane A. Culik
The Journal of the American Board of Family Practice Apr 1989, 2 (2) 123-125; DOI: 10.3122/jabfm.2.2.123
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