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Case Reports in Urology
Volume 2012 (2012), Article ID 312365, 5 pages
http://dx.doi.org/10.1155/2012/312365
Case Report

Fournier’s Gangrene in a Heterosexual Man: A Complication of Neisseria meningitidis Urethritis

1Department of Urology, The Ohio State University Wexner Medical Center, Columbus, OH 43212, USA
2Department of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43212, USA

Received 23 October 2012; Accepted 11 November 2012

Academic Editors: P. H. Chiang, N. Eke, and M. Saito

Copyright © 2012 Tariq A. Khemees et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.