Nongonococcal urethritis can come from Neisseria: A case of <i>N. meningitidis</i> urethritis

<i>Neisseria meningitidis</i> is a gram-negative organism known to cause invasive bacterial disease including meningitis and sepsis. <i>Neisseria gonorrhoeae</i> is a pathogen in the same genus and causes gonorrhea, a common sexually transmitted infection that often manifests as urethritis. <i>N. meningitidis</i> can also cause urethritis, yet diagnosis is difficult as it is not detectable on routine gonococcal testing. We present a case of a patient with <i>N. meningitidis</i> urethritis, and discuss the epidemiology and approach to diagnosis and treatment of this illness. It is important to keep <i>N. meningitidis</i> in the differential diagnosis for patients with nongonococcal urethritis.