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Meningitis secondary to disseminated gonococcal infection
  1. Kelsey S Suggs1,
  2. Emmanuel Tito1,2,
  3. Nirmal Muthukumarasamy1 and
  4. Mark Schauer1
  1. 1Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA
  2. 2Western Michigan University School of Medicine, Kalamazoo, Michigan, USA
  1. Correspondence to Kelsey S Suggs; kelsey.suggs{at}


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 Neisseria gonorrhoeae. 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.

  • infectious diseases
  • meningitis
  • headache (including migraines)
  • sexual transmitted infections (bacterial)
  • gonorrhoea

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  • Contributors KSS, ET and MS worked together on the patient care team for this case, and collaborated with NM in writing this case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.