Gonorrhea Situation In Michigan Is Insane

Patient KC by Alexandria House, "Older medical staff" by Wolfgang Nelson, Resident by Dustin Petrillo, Patient JW by DeAtley Barish (order of appearance) Review: Dr Katherine Johns

Music inspired by R Prince (RIP 🙏), performed by Chubbyemu Other music by Lifeformed

These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.

References:

Meningitis secondary to disseminated gonococcal infection. https://pmc.ncbi.nlm.nih.gov/articles/PMC8477240/

Ongoing Cluster of Highly Related Disseminated Gonococcal Infections — Southwest Michigan, 2019. https://www.cdc.gov/mmwr/volumes/69/wr/mm6912a5.htm

Antibiotic resistance in Neisseria gonorrhoeae: origin, evolution, and lessons learned for the future. https://pmc.ncbi.nlm.nih.gov/articles/PMC4510988/

Genomic Investigation of Disseminated Gonococcal Infections, Minnesota, USA, 2024. https://wwwnc.cdc.gov/eid/article/31/10/25-0785_article

Neisseria gonorrhoeae Sequence Type 16676 in Disseminated Infections, Minnesota, USA, 2025. https://wwwnc.cdc.gov/eid/article/32/6/26-0126_article

STI Surveillance 2023. https://www.cdc.gov/sti-statistics/media/pdfs/2025/09/2023_STI_Surveillance_Report_FINAL_508.pdf

Michigan DHHS HIV & STI Data & Statistics. https://www.michigan.gov/mdhhs/keep-mi-healthy/chronicdiseases/hivsti/data-and-statistics

Persistence of Genetically Related Neisseria gonorrhoeae Strains Causing Disseminated Gonococcal Infection Cases in Southwestern Michigan During 2019 to 2023 https://pubmed.ncbi.nlm.nih.gov/40719319/

Phylogenomic Comparison of Neisseria gonorrhoeae Causing Disseminated Gonococcal Infections and Uncomplicated Gonorrhea in Georgia, United States. https://pmc.ncbi.nlm.nih.gov/articles/PMC9280329/

Disseminated gonococcal infection causes symmetric arthritis of the joints. https://evidence.nejm.org/doi/full/10.1056/EVIDmr2500216

More N gonorroheoea found in circulation to have anti-tetracycline features https://www.nejm.org/doi/full/10.1056/NEJMc2504010