Sketchy Microbiology: Neisseria Gonorrhea

"The Violinists Last Clap" — Neisseria Gonorrhea

Hint: Overall Color

Red Hue – Gram Negative Cocci

Gonzo’s Bar — N. Gonorrhea

Detective MAC – Common Features of Neisseria species

• Gram Negative Cocci

• Diplococci

• Grows on Chocolate Agar, VPN, Enriched Agar

• C5 - C9 MAC Deficiency

• IgA Protease

• Pilli = Antigen Variation

Flirting at the bar — N. Gonorrheae is a Sexually Transmitted Infection (STI)

Seats with the high back white chairs and 2 red pillows — N. Gonorrhea is Diplococci, Facultative Intracellular, and invades PMN's (Polymorphonuclear neutrophils)

Glass falling off the table and breaking — N. gonorrhea is NOT encapsulated

Since N. Gonorrhea is an STI, what does it effect first in MALES?

In males, N. Gonorrhea causes urethritis and prostatitis and orchiditis

Since N. Gonorrhea is an STI, what does it effect first in FEMALES?

In females, N. Gonorrhea causes PID (Pelvic Inflammatory Disorder)

PID Chandelier — Uterus w/ fallopian tubes and ovaries.

Burning candles = inflammation

Dripping candle wax → purulent white discharge

Fitz Hugh Curtis Band — PID complication called “Fitz Hugh Curtiss syndrome”

“Fitz Hugh Curtiss syndrome”: when the inflammation spreads to the peritoneum.

“Violin string-like “adhesions form from peritoneum to capsule of liver

Statue has cracked knee —N. Gonorrhea can cause arthritis in the knee and is asymmetric

Mother holding a baby shielding it’s eyes — N. gonorrhea can be passed on to baby during vaginal delivery and will cause conjunctivitis within 5 days of birth

Statue w/ three axes — Ceftriaxone (3rd Gen. Cephalosporin) is treatment for N. Gonorrhea

Shell shape napkins – If your patient has N. Gonorrhea, there’s a high chance of having a co-infection with Chlamydia