{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T03:32:56Z","timestamp":1782271976111,"version":"3.54.5"},"reference-count":7,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,9]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>We report one of the unusual presentations of disseminated gonococcal infection. This case report describes a 24-year-old woman who presented with disseminated gonococcal infection manifesting as meningitis. Cerebrospinal fluid (CSF) and throat swab PCR were positive for <jats:italic>Neisseria gonorrhoeae<\/jats:italic>. Blood and CSF cultures were negative for bacterial growth. The patient was treated with a total of 14 days of intravenous ceftriaxone. She was discharged with no neurological sequelae.<\/jats:p>","DOI":"10.1136\/bcr-2021-244895","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T12:55:04Z","timestamp":1632747304000},"page":"e244895","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Meningitis secondary to disseminated gonococcal infection"],"prefix":"10.1136","volume":"14","author":[{"given":"Kelsey S","family":"Suggs","sequence":"first","affiliation":[{"name":"Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Tito","sequence":"additional","affiliation":[{"name":"Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA"},{"name":"Western Michigan University School of Medicine, Kalamazoo, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirmal","family":"Muthukumarasamy","sequence":"additional","affiliation":[{"name":"Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Schauer","sequence":"additional","affiliation":[{"name":"Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,9,27]]},"reference":[{"key":"2025082723484458000_14.9.e244895.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1972.03190390016005"},{"key":"2025082723484458000_14.9.e244895.2","first-page":"404","article-title":"Systemic gonococcal infection","volume":"72","author":"Ross","year":"1996","journal-title":"Genitourin Med"},{"key":"2025082723484458000_14.9.e244895.3","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1016\/S0140-6736(00)55116-2","article-title":"Gonococcal meningitis","volume":"199","author":"Smith","year":"1922","journal-title":"Lancet"},{"key":"2025082723484458000_14.9.e244895.4","doi-asserted-by":"crossref","first-page":"353","DOI":"10.15585\/mmwr.mm6912a5","article-title":"Notes from the Field: Ongoing Cluster of Highly Related Disseminated Gonococcal Infections - Southwest Michigan, 2019","volume":"69","author":"Nettleton","year":"2020","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025082723484458000_14.9.e244895.5","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200305000-00016"},{"key":"2025082723484458000_14.9.e244895.6","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6950a6"},{"key":"2025082723484458000_14.9.e244895.7","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.41.2.835-837.2003"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244895","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:48:51Z","timestamp":1756363731000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244895"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":7,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,27]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/bcr-2021-244895"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244895","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}