title: Severe conjunctivitis due to multidrug-resistant Neisseria gonorrhoeae and adenovirus 53 coinfection in a traveler returning from Thailand.
abstract: A male traveler returning from Thailand with severe bilateral conjunctivitis was tested for causative pathogens by culture and polymerase chain reaction in late 2010. The culturally grown Neisseria gonorrhoeae strain was resistant against penicillin, ciprofloxacin, and tetracycline. The patient was also found to have an eye infection with the unusual and likely recombinant adenovirus type 53. Besides multidrug-resistant gonococcal strains the unusual adenovirus strain is found circulating in Asia and both pathogens may be a risk for travelers.
authors.affiliation: Institute of Hygiene and Microbiology, University of Würzburg, Würzburg, Germany.
authors.forename: Dennis
authors.initials: D
authors.lastname: Tappe
authors.forename: Andreas
authors.initials: A
authors.lastname: Mueller
authors.forename: Benedikt
authors.initials: B
authors.lastname: Weißbrich
authors.forename: Jörg
authors.initials: J
authors.lastname: Schubert
authors.forename: Marc
authors.initials: M
authors.lastname: Schargus
authors.forename: August
authors.initials: A
authors.lastname: Stich
mesh_terms: D000256:Adenoviridae / Q000302:isolation & purification*; D000257:Adenoviridae Infections / Q000150:complications / Q000208:ethnology* / Q000821:virology; D000328:Adult; D060085:Coinfection; D003231:Conjunctivitis / Q000208:ethnology* / Q000382:microbiology / Q000821:virology; D018432:Drug Resistance, Multiple; D015818:Eye Infections, Bacterial / Q000208:ethnology* / Q000382:microbiology; D005858:Germany / Q000453:epidemiology; D006069:Gonorrhea / Q000208:ethnology* / Q000382:microbiology; D006801:Humans; D008297:Male; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D013785:Thailand / Q000208:ethnology; D014195:Travel