Gonococcal infection in cerebrospinal fluid and the presence of a ventriculoperitoneal shunt.

Background: Neisseria gonorrhoeae is one of the most common organisms associated with pelvic disease in a woman of reproductive age.

Case: We present an unusual case of cerebrospinal fluid infection with N. gonorrhoeae in a woman with a ventriculoperitoneal shunt who complained of abdominal pain. Her shunt was removed and after adequate antibiotic therapy, it was re-inserted.

Conclusion: Sexually active women, especially those with ventriculoperitoneal shunts, should be encouraged to use a barrier method of contraception, and should have a pelvic examination as part of their evaluation when they present with complaints of abdominal pain.