PT  - JOURNAL ARTICLE
AU  - Anan, Thomas J.
AU  - Culik, Diane A.
TI  - <em>Neisseria Gonorrhoeae</em> Dissemination And Gonococcal Meningitis
AID  - 10.3122/jabfm.2.2.123
DP  - 1989 Apr 01
TA  - The Journal of the American Board of Family
                Practice
PG  - 123--125
VI  - 2
IP  - 2
4099  - http://www.jabfm.org/content/2/2/123.short
4100  - http://www.jabfm.org/content/2/2/123.full
SO  - J Am Board Fam Med1989 Apr 01; 2
AB  - 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.