Gonococcal meningitis: An unusual presentation of disseminated gonococcal infection.

Gonorrhea is a sexually transmitted infection caused by . The rate of infections in Canada has increased from 2010 to 2015. Disseminated gonococcal infection typically results from bacteremic spread of from a preceding mucosal site of disease (e.g., urogenital). Common clinical manifestations of disseminated gonococcal infection include skin lesions, tenosynovitis, and septic arthritis. Bacterial meningitis as a manifestation of disseminated gonococcal infection has been rarely described. A case of bacterial meningitis due to , complicated by an ischemic stroke, is reported here. Clinical features that may point to as the pathogen in a patient with bacterial meningitis include a concomitant active urogenital infection, skin rash, arthritis, and/or tenosynovitis. Parenteral ceftriaxone for 10 to 14 days combined with a single oral dose of azithromycin is currently recommended as the treatment for gonococcal meningitis in recent guidelines. This case is presented to highlight a potential, albeit rare, complication of a preventable disease that has resurged in the last decade in our community.