{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T15:17:12Z","timestamp":1789139832664,"version":"build-2803163510"},"reference-count":9,"publisher":"Microbiology Society","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,12,1]]},"abstract":"<jats:p>The primary pathogens found in men with urethritis are <jats:italic>Chlamydia trachomatis<\/jats:italic> and <jats:italic>Neisseria gonorrhoeae<\/jats:italic>. Rapid diagnosis of <jats:italic>N. gonorrhoeae<\/jats:italic> infection can be made based on a Gram- or methylene blue-stained urethral smear. We describe a case of a man with purulent penile discharge, in which microscopic examination led to the presumptive diagnosis of gonorrhoea. A nucleic acid amplification test was negative for <jats:italic>N. gonorrhoeae<\/jats:italic> but positive for <jats:italic>C. trachomatis<\/jats:italic>. Culture showed Gram-negative diplococci which were identified as <jats:italic>Neisseria meningitidis<\/jats:italic>. <jats:italic>N. meningitidis<\/jats:italic> can be sporadically pathogenic in the genito-urinary tract and mimicks gonococcal urethritis, and appears identical by microscopy. When a gonococcal urethritis is suspected based on clinical signs and microscopic examination, but investigatory tests cannot confirm the diagnosis, a <jats:italic>N. meningitidis<\/jats:italic> infection should be considered.<\/jats:p>","DOI":"10.1099\/jmm.0.059378-0","type":"journal-article","created":{"date-parts":[[2013,9,3]],"date-time":"2013-09-03T04:10:50Z","timestamp":1378181450000},"page":"1905-1906","source":"Crossref","is-referenced-by-count":6,"title":["A misleading urethral smear with polymorphonuclear leucocytes and intracellular diplococci; case report of urethritis caused by Neisseria meningitidis"],"prefix":"10.1099","volume":"62","author":[{"given":"R. E.","family":"Genders","sequence":"first","affiliation":[{"name":"Department of Dermatology, Roosevelt Clinic, Leiden, The Netherlands"},{"name":"Municipal Health Services of The Hague, Sexually Transmitted Disease Clinic, The Hague, The Netherlands"},{"name":"Department of Dermatology, LUMC, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Spitaels","sequence":"additional","affiliation":[{"name":"Municipal Health Services of The Hague, Sexually Transmitted Disease Clinic, The Hague, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. L.","family":"Jansen","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Medical Center Haaglanden Westeinde Hospital, The Hague, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Th. W.","family":"van den Akker","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Medical Center Haaglanden Westeinde Hospital, The Hague, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. D.","family":"Quint","sequence":"additional","affiliation":[{"name":"Department of Dermatology, LUMC, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"345","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2011.011267"},{"key":"r2","first-page":"627","article-title":"Gonococcal infections in the adult","volume-title":"Sexually Transmitted Diseases","author":"Hook","year":"2008"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181ffa7dc"},{"key":"r4","first-page":"739","article-title":"Meningococcus infections of the male urogenital tract and the liability to confusion with gonococcus","volume":"43","author":"Murray","year":"1939","journal-title":"Urol Cutaneous Rev"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.1999.tb00101.x"},{"key":"r6","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1155\/2005\/323082","article-title":"The laboratory diagnosis of Neisseria gonorrhoeae","volume":"16","author":"Ng","year":"2005","journal-title":"Can J Infect Dis Med Microbiol"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1016\/j.diagmicrobio.2012.08.004"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200105033441807"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e318225f7c2"}],"container-title":["Journal of Medical Microbiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.microbiologyresearch.org\/content\/journal\/jmm\/10.1099\/jmm.0.059378-0?crawler=true","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,2]],"date-time":"2020-10-02T03:14:34Z","timestamp":1601608474000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.microbiologyresearch.org\/content\/journal\/jmm\/10.1099\/jmm.0.059378-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,1]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2013,12,1]]}},"URL":"https:\/\/doi.org\/10.1099\/jmm.0.059378-0","relation":{},"ISSN":["0022-2615","1473-5644"],"issn-type":[{"value":"0022-2615","type":"print"},{"value":"1473-5644","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,1]]}}}