Gram - Cocci

Question 1

Neisseria gonorrheae

gonococcus

Answer 1

oxidase +, IgA protease, grown on chocolate agar or VPN(Thayer) agar, increased infection in those with C5-9 deficiencies, pili w/antigenic variation –> infection of genital tract –> urethitis, PID, white purulent discharge (PID can spread to peritoneum and cause Fitz-Hugh-Curtis syndrome with hepatic adhesions) - polyarthritis (knee), purulent conjunctivitis in newborns (early onset)
Facultative intracellular in PMNs
Tx- ceftriaxone - (azithromycin and doxycyclin for chlamydia co-infection)