cqvip:A 68 year old man presented with urethritis and a purulent discharge, carrying the tentative diagnosis of gonorrhea. He had already been treated with multiple antibiotics. Microbiologicalinvestigationrevealed Pseudomonasaeruginosa,arelati vely frequent Gram-negative bacteria in hospitals, which can cause several noso comial diseases such as pneumonia, wound infections and urogenital infections. T herapy can be difficult because of frequent antibiotic resistance. Guided by sen sitivity studies, the patient was successfully treated with gyrase inhibitors. P seudomonas aeruginosa-induced urogenital infections in ambulatory patients are extremely rare and usually not associated with a gonorrhea-like discharge.
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