A businessman in Iowa returned from a trip to Japan and a fewother countries a few months previously. He had a very sore throat.He had been treated with beta-lactam drugs but was not cured. Theman reported that he had unprotected sex including oral whileoverseas. The gram stain of his throat showed a gram-negativecoccus. He was treated with a newer generation beta-lactam drug andstill did not cure the pharyngitis. He also showed signs of aninfection of the genitourinary tract with purulent discharge fromthe penile region.  Samples were taken to grow apotential bacterium from both regions of his body.
Questions
- What is the most likely pathogen causing this pharyngitis? Whatwas the source of transmission? Name two other organisms that causepharyngitis.
- Discuss in detail the properties of the microbe? Does it havemethods of immune evasion?
- Discuss in detail the pathogenesis of the disease from initialexposure to final outcome. Â Â What are thecomplications?
