A lumbar puncture showed a cloudy cerebrospinal fluid with 4400 cells, 90% neutrophils, a protein level of 2.4 (normal 0.15–0.5) g/L and a glucose level of 0.33 (normal 2.22–3.9) mmol/L. Gram staining ...

The presence of many polymorphonuclear cells and gram-negative diplococci is suggestive of Neisseria gonorrhoeae, the etiologic agent of mucopurulent cervicitis and pelvic inflammatory disease (PID).