TY - JOUR A2 - Saito, M. A2 - Chiang, P. H. A2 - Eke, N. AU - Khemees, Tariq A. AU - Porshinsky, Brian S. AU - Patel, Abhishek P. AU - McClung, Christopher D. PY - 2012 DA - 2012/12/05 TI - Fournier’s Gangrene in a Heterosexual Man: A Complication of Neisseria meningitidis Urethritis SP - 312365 VL - 2012 AB - A 55-year-old heterosexual male presented to the emergency department with a symptomatology consistent with urethritis and Fournier’s gangrene. Urethral swab and operative tissue cultures were positive for coagulase-negative Staphylococcus and an intracellular Gram-negative diplococcus. The latter was initially thought to be Neisseria gonorrhea; however, DNA sequencing technique confirmed it to be Neisseria meningitidis. The patient required three separate surgical debridements to control widespread necrotizing infection. Following documentation of sterile wound healing with appropriate antibiotics, four reconstructive surgeries were necessary to manage the resultant wound defects. To our knowledge, Neisseria meningitidis as a causative organism in Fournier’s gangrene has not been reported in the literature. SN - 2090-696X UR - https://doi.org/10.1155/2012/312365 DO - 10.1155/2012/312365 JF - Case Reports in Urology PB - Hindawi Publishing Corporation KW - ER -