[Pseudomonas aeruginosa infection presenting as gonorrhea].
A 68 year old man presented with urethritis and a purulent discharge, carrying the tentative diagnosis of gonorrhea. He had already been treated with multiple antibiotics. Microbiological investigation revealed Pseudomonas aeruginosa, a relatively frequent Gram-negative bacteria in hospitals, which can cause several nosocomial diseases such as pneumonia, wound infections and urogenital infections. Therapy can be difficult because of frequent antibiotic resistance. Guided by sensitivity studies, the patient was successfully treated with gyrase inhibitors. Pseudomonas aeruginosa-induced urogenital infections in ambulatory patients are extremely rare and usually not associated with a gonorrhea-like discharge.
Klinik für Dermatologie und Allergologie des St. Josef-Hospital Bochum, Bochum.
I
I
Schugt
P
P
Altmeyer
N H
NH
Brockmeyer
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D024881:Drug Resistance, Bacterial; D006069:Gonorrhea / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D008297:Male; D011552:Pseudomonas Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D059005:Topoisomerase II Inhibitors; D016896:Treatment Outcome; D014526:Urethritis / Q000175:diagnosis* / Q000382:microbiology / Q000517:prevention & control
D000900:Anti-Bacterial Agents; D059005:Topoisomerase II Inhibitors