{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T13:17:48Z","timestamp":1755695868545,"version":"3.38.0"},"reference-count":16,"publisher":"University of Toronto Press Inc. (UTPress)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of the Association of Medical Microbiology and Infectious Disease Canada"],"published-print":{"date-parts":[[2019,6,17]]},"abstract":"<jats:p> Gonorrhea is a sexually transmitted infection caused by Neisseria gonorrhoeae. The rate of N. gonorrhoeae infections in Canada has increased from 2010 to 2015. Disseminated gonococcal infection typically results from bacteremic spread of N. gonorrhoeae from a preceding mucosal site of disease (e.g., urogenital). Common clinical manifestations of disseminated gonococcal infection include skin lesions, tenosynovitis, and septic arthritis. Bacterial meningitis as a manifestation of disseminated gonococcal infection has been rarely described. A case of bacterial meningitis due to N. gonorrheae, complicated by an ischemic stroke, is reported here. Clinical features that may point to N. gonorrhoeae as the pathogen in a patient with bacterial meningitis include a concomitant active urogenital infection, skin rash, arthritis, and\/or tenosynovitis. Parenteral ceftriaxone for 10 to 14 days combined with a single oral dose of azithromycin is currently recommended as the treatment for gonococcal meningitis in recent guidelines. This case is presented to highlight a potential, albeit rare, complication of a preventable disease that has resurged in the last decade in our community. <\/jats:p>","DOI":"10.3138\/jammi.2018-0043","type":"journal-article","created":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T18:07:51Z","timestamp":1560794871000},"page":"116-120","source":"Crossref","is-referenced-by-count":2,"title":["Gonococcal meningitis: An unusual presentation of disseminated gonococcal infection"],"prefix":"10.3138","volume":"4","author":[{"given":"Salem","family":"Agabawi","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Section of Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"McEachern","sequence":"additional","affiliation":[{"name":"Department of Radiology, Section of neuroradiology, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Walkty","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Section of Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Diagnostic Services Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1696","reference":[{"key":"ir1","unstructured":"1. Public Health Agency of Canada. Gonococcal infections chapter [Internet]. In: Canadian guidelines on sexually transmitted infections. Ottawa: Public Health Agency of Canada; 2013 Jul [cited 2017 Nov 2]. Available from: https:\/\/www.canada.ca\/content\/dam\/phac-aspc\/migration\/phac-aspc\/std-mts\/sti-its\/cgsti-ldcits\/assets\/pdf\/section-5-6-eng.pdf."},{"issue":"2","key":"ir2","doi-asserted-by":"crossref","first-page":"37","DOI":"10.14745\/ccdr.v44i02a01","volume":"44","author":"Choudhri Y","year":"2018","journal-title":"Can Commun Dis Rep"},{"key":"ir3","unstructured":"3.\tWorkowski KA, Bolan GA; Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64(RR-03):1\u2013137. Medline:26042815. Erratum in: MMWR Recomm Rep. 2015;64(33):924. 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Public Health Agency of Canada. Canadian Antimicrobial Resistance Surveillance System 2017 Report [Internet]. Ottawa: Public Health Agency of Canada. 2018 Mar. 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