{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T17:21:32Z","timestamp":1759339292536,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,12,17]]},"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>We describe an unusual case of a male patient presenting with penile and testicular swelling following an unprotected and traumatic sexual encounter. It was suspected that an isolated penile injury occurred during intercourse; however, ultrasound imaging identified an intact tunical layer and right-sided epididymo-orchitis. Following screening for sexually transmitted infections (STIs), he was discharged with antibiotics and advice to attend the Sexual Health Centre for contact tracing. He represented with a periurethral abscess and an antimicrobial-resistant (AMR) strain of <jats:italic>Neisseria gonorrhoea<\/jats:italic> was identified. Appropriate antibiotic treatment was initiated. Examination-under-anaesthesia, following abscess drainage, revealed a contained collection with no urethral fistula; however, a flat urethral lesion was seen during urethroscopy. Repeat urethroscopy and biopsy of the lesion indicated polypoid urethritis. Periurethral abscess secondary to gonococcal urethritis is a rare complication, but one that we should be suspicious of, especially with the growing incidence of AMR-STIs.<\/jats:p>","DOI":"10.1136\/bcr-2021-246494","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T11:46:30Z","timestamp":1641296790000},"page":"e246494","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Unusual presentation of a periurethral abscess following infection with <i>Neisseria gonorrhoea<\/i>"],"prefix":"10.1136","volume":"15","author":[{"given":"Robin","family":"Shepherd","sequence":"first","affiliation":[{"name":"Urology, Mid Yorkshire Hospitals NHS Trust, Wakefield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Crossland","sequence":"additional","affiliation":[{"name":"Urology, Mid Yorkshire Hospitals NHS Trust, Wakefield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafal","family":"Turo","sequence":"additional","affiliation":[{"name":"Urology, Mid Yorkshire Hospitals NHS Trust, Wakefield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Christodoulidou","sequence":"additional","affiliation":[{"name":"Urology, Mid Yorkshire Hospitals NHS Trust, Wakefield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,1,4]]},"reference":[{"key":"2025082708010712000_15.1.e246494.1","unstructured":"Mitchell H , Allen H , et al, contributors . 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In: Wein AJ , Kavoussi LR , Partin AW , et al , eds. Campbell-Walsh urology. 11th ed. Philadelphia: Elsevier, 2016: 371\u20133."},{"key":"2025082708010712000_15.1.e246494.6","unstructured":"Ghanem KG . Clinical manifestations and diagnosis of Neisseria gonorrhoea infection in adults and adolescents. Available: http:\/\/www.uptodate.com\/contents\/clinical-manifestations-and-diagnosis-of-neisseria-gonorrhoeae-infection-in-adults-and-adolescents#H1322294783 [Accessed 17 Jun 2020]."},{"key":"2025082708010712000_15.1.e246494.7","doi-asserted-by":"publisher","DOI":"10.1038\/nrmicro.2017.169"},{"key":"2025082708010712000_15.1.e246494.8","doi-asserted-by":"publisher","DOI":"10.1136\/sti.74.4.276"},{"key":"2025082708010712000_15.1.e246494.9","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1007\/s15010-010-0050-z","article-title":"Periurethral abscess complicating gonococcal urethritis: case report and literature review","volume":"38","author":"Kenfak-Foguena","year":"2010","journal-title":"Infection"},{"key":"2025082708010712000_15.1.e246494.10","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1159\/000081600","article-title":"Periurethral abscess formation due to Neisseria gonorrhoeae","volume":"73","author":"Kraus","year":"2004","journal-title":"Urol Int"},{"key":"2025082708010712000_15.1.e246494.11","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1071\/SH19061","article-title":"Epidemiology of gonorrhoea: a global perspective","volume":"16","author":"Kirkcaldy","year":"2019","journal-title":"Sex Health"},{"key":"2025082708010712000_15.1.e246494.12","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1007\/s40588-019-00125-4","article-title":"Pathogenic interplay between chlamydia trachomatis and neisseria gonorrhoeae that influences management and control efforts\u2014more questions than answers?","volume":"6","author":"Leonard","year":"2019","journal-title":"Curr Clin Microbiol Rep"},{"key":"2025082708010712000_15.1.e246494.13","first-page":"137","article-title":"The pathology of gonorrhoea","volume":"24","author":"Harkness","year":"1948","journal-title":"Br J Vener Dis"},{"key":"2025082708010712000_15.1.e246494.14","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1097\/00007435-198104000-00009","article-title":"Gnococcal urethritis with bilateral tysonitis and periurethral abscess","volume":"8","author":"Subramanian","year":"1981","journal-title":"Sex Transm Dis"},{"key":"2025082708010712000_15.1.e246494.15","unstructured":"National Institute for Health and Care Excellence, . 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