Male gonococcal urethritis – a case report

Abstract

Introduction: Sexually transmitted infections of the urethra are mostly consequence of Neisseria gonorrhoeae and Chlamydia trachomatis. Gonococcal urethritis in men has clinical representation of purulent urethral discharge and dysuria, but still 10% of cases may remain asymptomatic. Due to the authentic symptoms, this infection is often treated clinically, without microbiological confirmation. Case presentation: A 29-year-old male patient went to general practitioner’s office for burning sensation during urination and purulent urethral discharge, one day after heterosexual intercourse. Urethral swab was sent to the Institute of Public Health for microbiological examination. Following the microbiological, microaerophilic atmosphere incubation period, grayish-white, oxidase and catalase-positive colonies, were observed on Thayer-Martin agar. The result (Neisseria gonorrhoeae) was confirmed by Polymerase Chain Reaction. Antibiotic susceptibility testing was performed with the Minimum Inhibitory Concentration and the strain was susceptible to ceftriaxone and ciprofloxacin. The patient had been immediately managed with cephalosporin (cefuroxime) after the urethral swabbing. Conclusion: Gonococcal infection was immediately recognized, microbiologically detected and treated according to antibiotic susceptibility testing. The antibiotic treatment was successful without further complications.