Sketchy Micro: Neisseria Gonorrheae

Question 1

N. gonorrheae is a facultative ____________.

Answer 1

intracellular (like the two red pillows –Gram-negative diplococci –inside the white chairs)

Question 2

What is an important distinction between N. gonorrheae and N. meningitidis?

Answer 2

N. gonorrheae does not have a capsule (a fact represented by the broken glass on the floor)

Question 3

Gonorrhea in men presents with __________, while in women it presents with ______________.

Answer 3

urethritis; pelvic inflammatory disease

Question 4

The __________ sign is indicative of PID.

Answer 4

chandelier

Question 5

Fitz-Hugh-Curtis syndrome can result when N. gonorrheae spreads to _____________.

Answer 5

beyond the uterus to make “violin string” adhesions to the liver

(Think of the jazz trio, called Fitz-Hugh-Curtis, with the violinist crushed by the statue.)

Question 6

Keep N. gonorrheae near the top of your differential in a young, sexually active male or female who presents with ____________.

Answer 6

asymmetric arthritis (like the statue with the cracked knee)

Question 7

N. gonorrheae causes ____________ in newborns of infected mothers.

Answer 7

conjunctivitis within the first week (like how the mom in Sketchy is quickly covering her baby’s eyes in response to the falling statue)

Question 8

How do you treat N. gonorrheae?

Answer 8

Ceftriaxone (the three axes on the statue)

Question 9

N. gonorrheae infection almost always presents with ________________ superinfection, so treat those with gonorrhea with macrolides or tetracyclines, too.

Answer 9

chlamydia (like the clams on the table)