The patient tested with Nerresira Gonorrhea. The patient's urine appeared clear, and urine culture was negative,...

The patient tested with Nerresira Gonorrhea.

The patient's urine appeared clear, and urine culture was negative, although urinalysis was positive for leukocyte esterase, and multiple white cells were seen on microscopic c examination of urine. He gave a history of being sexually active with five or six partners in the past 6 months. He claimed that he and his partners had not had any sexually transmitted infections. His physical exam was significant for a yellow urethral discharge and tenderness at the tip of the penis.

1) Are his urinalysis and urine culture findings consistent with his illness? Explain

2) What virulence factor(s) made by this organism is responsible for his symptoms?

Expert Solution

1. The urine culture of the patient was negative. This finding is not consistent with the problem of the patient. But this does not mean that the person is not having Gonnorhoea. Even though a negative result is found in urine culture, the patient is recommended to do further tests as we are testing for a sexually transmitted diseases such as Gonnorhoea.

The urinalysis of the patient tested positive for leukocyte esterase and multiple white cells in microscopic examination of urine. These findings are consistent with the disease diagnosed for the patient as the presence of leukocyte esterase indicates gonnorhoeal infection and also the white cells shows infection.

2. The Neisseria gonnorrhoeae bacteria is having lipo oligosaccharide in the outer membrane and this is responsible for the symptoms in gonnorrhoeal infection which mainly includes yellow urethral discharge and tenderness at the tip of the male genital organ. This lipo oligopolysachharide causes an intense inflammatory response and as a result of this inflammatory response, pus is formed , showing symptoms in the patient.

Nightingale answered 2 years ago

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