title: Disseminated gonococcal infection in an elderly Japanese man.
abstract: We herein present the case of a 69-year-old Japanese man who had unprotected sexual contact with a local commercial sex worker in an East Asian country and was diagnosed as having disseminated gonococcal infection (DGI). The organism was confirmed to be Neisseria gonorrhoeae based on 16S rRNA sequencing and positive results for the cppB gene. This case indicates that a diagnosis of DGI should also be considered in elderly individuals. DGI potentially causes many complications, and the pathogen has recently been reported to be resistant to various antibiotics. Physicians must therefore pay more attention to the possible occurrence of DGI in various clinical settings.
authors.affiliation: Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
authors.forename: Hideharu
authors.initials: H
authors.lastname: Hagiya
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Onishi
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Ebara
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Hanayama
authors.forename: Susumu
authors.initials: S
authors.lastname: Kokeguchi
authors.forename: Motoko
authors.initials: M
authors.lastname: Nose
authors.forename: Nobuchika
authors.initials: N
authors.lastname: Kusano
authors.forename: Fumio
authors.initials: F
authors.lastname: Otsuka
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D044466:Asian People; D001425:Bacterial Outer Membrane Proteins / Q000235:genetics; D002443:Ceftriaxone / Q000627:therapeutic use; D005798:Genes, Bacterial; D006069:Gonorrhea / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D007564:Japan; D008297:Male; D009344:Neisseria gonorrhoeae / Q000235:genetics / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents; D001425:Bacterial Outer Membrane Proteins; C082716:cppB protein, Neisseria gonorrhoeae; D002443:Ceftriaxone