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A case of bacteremia by Neisseria gonorrhoeae coincident with massive hemorrhage of esophageal varices.
Korean J Lab Med. 2011 Apr; 31(2):118-21.KJ

Abstract

A 42-yr-old man with hepatitis B virus associated liver cirrhosis was admitted to the emergency room because of multiple seizures, a history of chills and myalgia over the previous 2 weeks, and 3 days of melena. He was febrile with a temperature of 38.0°C. There were no symptoms and signs related to the genitourinary system, skin, or joints. Three sets of blood cultures were obtained and oxidase-positive, gram-negative diplococci were detected after 25.9-26.9 hr of incubation in all aerobic vials. The organism was positive for catalase and oxidase, and was identified as Neisseria gonorrhoeae, using a Vitek Neisseria-Haemophilus Identification card (bioMérieux Vitek, Inc., USA). Further, 16S rRNA sequencing of this isolate revealed a 99.9% homology with the published sequence of N. gonorrhoeae strain NCTC 83785 (GenBank Accession No. NR_026079.1). Acute bleeding by variceal rupture seems to be a likely route of introduction of N. gonorrhoeae from the mucosa into the blood. To the best of our knowledge, this is the first case of gonococcal bacteremia in Korea.

Authors+Show Affiliations

Department of Laboratory Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21474988

Citation

Won, Dahae, et al. "A Case of Bacteremia By Neisseria Gonorrhoeae Coincident With Massive Hemorrhage of Esophageal Varices." The Korean Journal of Laboratory Medicine, vol. 31, no. 2, 2011, pp. 118-21.
Won D, An D, Kim MN, et al. A case of bacteremia by Neisseria gonorrhoeae coincident with massive hemorrhage of esophageal varices. Korean J Lab Med. 2011;31(2):118-21.
Won, D., An, D., Kim, M. N., & Lee, Y. S. (2011). A case of bacteremia by Neisseria gonorrhoeae coincident with massive hemorrhage of esophageal varices. The Korean Journal of Laboratory Medicine, 31(2), 118-21. https://doi.org/10.3343/kjlm.2011.31.2.118
Won D, et al. A Case of Bacteremia By Neisseria Gonorrhoeae Coincident With Massive Hemorrhage of Esophageal Varices. Korean J Lab Med. 2011;31(2):118-21. PubMed PMID: 21474988.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case of bacteremia by Neisseria gonorrhoeae coincident with massive hemorrhage of esophageal varices. AU - Won,Dahae, AU - An,Dongheui, AU - Kim,Mi-Na, AU - Lee,Young Sang, PY - 2011/4/9/entrez PY - 2011/4/9/pubmed PY - 2011/8/17/medline SP - 118 EP - 21 JF - The Korean journal of laboratory medicine JO - Korean J Lab Med VL - 31 IS - 2 N2 - A 42-yr-old man with hepatitis B virus associated liver cirrhosis was admitted to the emergency room because of multiple seizures, a history of chills and myalgia over the previous 2 weeks, and 3 days of melena. He was febrile with a temperature of 38.0°C. There were no symptoms and signs related to the genitourinary system, skin, or joints. Three sets of blood cultures were obtained and oxidase-positive, gram-negative diplococci were detected after 25.9-26.9 hr of incubation in all aerobic vials. The organism was positive for catalase and oxidase, and was identified as Neisseria gonorrhoeae, using a Vitek Neisseria-Haemophilus Identification card (bioMérieux Vitek, Inc., USA). Further, 16S rRNA sequencing of this isolate revealed a 99.9% homology with the published sequence of N. gonorrhoeae strain NCTC 83785 (GenBank Accession No. NR_026079.1). Acute bleeding by variceal rupture seems to be a likely route of introduction of N. gonorrhoeae from the mucosa into the blood. To the best of our knowledge, this is the first case of gonococcal bacteremia in Korea. SN - 1598-6535 UR - https://www.unboundmedicine.com/medline/citation/21474988/A_case_of_bacteremia_by_Neisseria_gonorrhoeae_coincident_with_massive_hemorrhage_of_esophageal_varices_ L2 - http://www.annlabmed.org/journal/viewJournal.html?year=2011&vol=31&page=118 DB - PRIME DP - Unbound Medicine ER -