<prompt> Water can perineum is caused by:E. coliEnterococcus faecalisNeisseria-gonorrhoeaeTreponemia pallidium  <response>: Neisseria gonorrhoeae: Ref: 227-AN 7th, 266-CPNeisseria gonorrhoeae: - The predominant manifestation in men is urethritis characterized by dysuria and a spontaneous purulent penile discharge. Chronic urethritis may lead to stricture formation. The infection may spread to the periurethral tissues, causing abscesses and multiple discharging sinuses water can perineumPATHOGENICITYA. Local diseaseB. Disseminated gonococcal infection1. Urethritis2. Cervicitis - only half may have symptoms of d ischarge and dysuria Vulvovagiinitis - in prepubertal girls Septic arthritis Skin lesion Tenosynovitis Endocarditis Osteomyelitis Meningitis RareComplications PID Anorectal gonorrhoea Pharyngeal gonorrhoea Ophthalmia neonatorum Perihepatitis Fitz Hugh Curtis syndrome 