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Case Reports
. 2011 Apr;31(2):118-21.
doi: 10.3343/kjlm.2011.31.2.118.

A case of bacteremia by Neisseria gonorrhoeae coincident with massive hemorrhage of esophageal varices

Dahae Won  1 , Dongheui An, Mi-Na Kim, Young Sang Lee
Affiliations
Case Reports

A case of bacteremia by Neisseria gonorrhoeae coincident with massive hemorrhage of esophageal varices

Dahae Won et al. Korean J Lab Med. 2011 Apr.

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.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Colonies of Neisseria gonorrhoeae on chocolate (A) and blood agar plates (B) after a 2-day incubation.
See this image and copyright information in PMC

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