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Gonorrhea Diagnosis: Intracellular Diplococci on Gram Stain

A clinical case of intracellular diplococci detection in a Gram-stained smear. Criteria for suspected gonorrhea and formulation in the laboratory report.

Editorial team Editorial team 1 min
Smear of discharge, Gram stain: massive accumulation of leukocytes
Smear of discharge, Gram stain: massive accumulation of leukocytes
Gram stain: segmented neutrophils with inclusions in the cytoplasm
Gram stain: segmented neutrophils with inclusions in the cytoplasm
Gram stain: single microorganisms against a background of segmented cells
Gram stain: single microorganisms against a background of segmented cells
Gram stain: group of neutrophils at high microscope magnification
Gram stain: group of neutrophils at high microscope magnification
Gram stain: accumulation of neutrophils and fibrous elements in the preparation
Gram stain: accumulation of neutrophils and fibrous elements in the preparation

Anonymous question from a subscriber. Patient: 19-year-old female. Gram stain. Diplococci are visible only intracellularly, located within leukocytes. Could this be gonorrhea? Please advise on how to record this in the report.

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