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

• Published in: Transplant Infectious Disease Vol. 20; no. 6; pp. e12987 - n/a
• Main Authors: Harada, Hiroshi, Mitsuke, Akihiko, Fukuzawa, Nobuyuki, Kodama, Fumihiro, Hirose, Takayuki, Tanaka, Toshiaki, Imamoto, Teppei, Tanaka, Hiroshi
• Format: Journal Article
• Language: English
• Published: Denmark Wiley 01.12.2018; Wiley Subscription Services, Inc
• Subjects: Acute Kidney Injury; Acute Kidney Injury - blood; Acute Kidney Injury - microbiology; Acute Kidney Injury - therapy; Anti-Bacterial Agents; Anti-Bacterial Agents - therapeutic use; Ceftriaxone; Ceftriaxone - therapeutic use; Dialysis; Gonorrhea; Gonorrhea - blood; Gonorrhea - microbiology; Gonorrhea - therapy; Hemodialysis; Humans; Inoculation; Kidney Failure, Chronic; Kidney Failure, Chronic - surgery; Kidney Transplantation; Kidney Transplantation - adverse effects; Kidney transplants; Kidneys; Male; Middle Aged; Mucosa; Neisseria gonorrhoeae; Neisseria gonorrhoeae - isolation & purification; Renal Dialysis; Sepsis; Sexual behavior; Sexual intercourse; Transplantation; Treatment Outcome; Urethra; Urethritis; acute kidney injury; Neisseria gonorrhoeae; sepsis; kidney transplantation
• ISSN: 1398-2273; 1399-3062; 1399-3062
• DOI: 10.1111/tid.12987

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.