title: Gonococcal infection in cerebrospinal fluid and the presence of a ventriculoperitoneal shunt.
abstract: BACKGROUND
  Neisseria gonorrhoeae is one of the most common organisms associated with pelvic disease in a woman of reproductive age.
  
  
  METHODS
  We present an unusual case of cerebrospinal fluid infection with N. gonorrhoeae in a woman with a ventriculoperitoneal shunt who complained of abdominal pain. Her shunt was removed and after adequate antibiotic therapy, it was re-inserted.
  
  
  CONCLUSIONS
  Sexually active women, especially those with ventriculoperitoneal shunts, should be encouraged to use a barrier method of contraception, and should have a pelvic examination as part of their evaluation when they present with complaints of abdominal pain.
authors.affiliation: Department of Obstetrics and Gynecology, Hutzel Hospital, Detroit, Michigan 48201, USA.
authors.forename: D C
authors.initials: DC
authors.lastname: Morgan
authors.forename: L
authors.initials: L
authors.lastname: Falconi
authors.forename: A I
authors.initials: AI
authors.lastname: Canady
authors.forename: C L
authors.initials: CL
authors.lastname: Kowalczyk
mesh_terms: D000328:Adult; D005260:Female; D006069:Gonorrhea / Q000134:cerebrospinal fluid* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*; D010406:Penicillins / Q000627:therapeutic use; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*
chemical_list: D010406:Penicillins