A 15 year-old male was brought to the emergency room by his sister. He gave a 24

Question

A 15 year-old male was brought to the emergency room by his sister. He gave a 24-hour history of dysuria and noted some “pus-like” drainage in his underwear and on the tip of his penis. He claimed that he had not had any sexual relations. Urine and urethral drainage were collected for testing. His urine appeared clear and his urine culture was negative although urinalysis was positive for leukocyte esterase and multiple white blood cells were seen on microscopic exam of the urine. A gram stain was performed on the urethral drainage. He was given antimicrobial agents and scheduled for a follow-up visit one week later. He did not return.

Gram stain:

Question 1

The Gram stain above was performed in the clinic. How would you interpret this Gram stain?

Part 2

Based on the Gram stain result above, with what organism is the patient infected?

Part 3

What property allows this organism to infect the urethra?

Part 4

Why was the urine culture negative if the patient has an infection?

Part 5

What is the current recommended test for diagnosing this infection?

Explanation / Answer

1. The gram stain reveals the client has an infection of gram positive diplococci

2. Based on the gram stain the organism can be N.Gonnorhoeae

3.Flagella allows the organisim to migrate upto urethra and cause the infection

4This didn't reveal in the urine culture because it requires fastidious and special conditions

5 The current test recommended for this infection is ideally a cultur of the urine,

Related Questions

Navigate

• Browse (All)
• Browse A
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.