Acute kidney injury caused by systemic Neisseria gonorrhoeae infection after successful kidney transplantation

Transpl Infect Dis. 2018 Dec;20(6):e12987. doi: 10.1111/tid.12987. Epub 2018 Sep 21.

Abstract

Neisseria gonorrhoeae is one of the microbes that can causes male urethritis. This microbe is most likely to be transmitted via sexual intercourse. In men, the representative infection sites are the urethra, and oral mucosa but gonococcemia is rere. We present a case of gonococcemia in a 47-year-old male successful kidney recipient. He temporarily lost his graft function due to acute kidney injury followed by sepsis; however, short-course intermittent hemodialysis and long-term intensive ceftriaxone inoculation saved his life and his graft function.

Keywords: Neisseria gonorrhoeae; acute kidney injury; kidney transplantation; sepsis.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / blood
  • Acute Kidney Injury / microbiology*
  • Acute Kidney Injury / therapy
  • Anti-Bacterial Agents / therapeutic use
  • Ceftriaxone / therapeutic use
  • Gonorrhea / blood
  • Gonorrhea / microbiology*
  • Gonorrhea / therapy
  • Humans
  • Kidney Failure, Chronic / surgery*
  • Kidney Transplantation / adverse effects*
  • Male
  • Middle Aged
  • Neisseria gonorrhoeae / isolation & purification*
  • Renal Dialysis
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Ceftriaxone