gram - diplococci or short rods

oxidase +

catalase variable

glucose +

grows at 35-37C

Non-motile

Non-sporeforming

Capnophilic

Infections of N. gonorrhoeae

-localized

-complications

Localized-cervicitis, urethritis, pharyngeal infection, rectal infection, conjunctivitis

Complicated-PID, epididymitis, Bartholin's gland abscess, Disseminated gonococcal infection

F 15-19yo; M20-24yo

incubation of 2-8 days

M: dysuria and purulent/mucopurulent urethral discharge discharge

F: cervicitis w/ urethritis

occassional cervicovaginal discharge, dysuria, abnormal or intermenstrual bleeding, abdominal/pelvic pain=looks like UTI

infants born to infected mothers; lab personnel; adults infected by genital tract secretions

-periorbital cellulitis, discharge, conjunctival injection, epithelial/stromal keratitis ulcerative keratitis, corneal perforation, blindness

What is a symptom of disseminated gonoccocal infection and how do you get it?

If you culture it, what would you find?

-pustular skin lesions on the extremities

-entry of organisms to the bloodstream from other lesions

-culture may or may not be positive for N. gonorroeae

What is the most common serogroup of N. meningitidis in the African meningitis belt?

What is the most common serogroup of N. meningitidis in the US?

What is the most succeptible group to meningococcal disease?

How is the disease spread?

-Serogroup A

-Serogroup C esp among teenagers

-3 month-1 year age group and young adults are at highest risk

-respiratory droplet b/c the bug is carried in the URT

1. complement deficiencies-esp C5-C9

2. multiple myeloma

3. asplenia, hepatic disease