We describe a sexual network consisting of 1 nonbinary-gendered participant and 2 male and 4 female participants in Australia, 2018. Six of 7 participants had oropharyngeal gonorrhea in the absence of urogenital gonorrhea. This observation supports a new paradigm of gonorrhea transmission in which oropharyngeal gonorrhea can be transmitted through tongue kissing.
Keywords: Australia; Neisseria gonorrhoeae; STIs; bacteria; disease transmission; gonorrhea; infectious; kissing; oropharyngeal gonorrhea; pharynx; sex network; sexually transmitted infections; transmission; urogenital gonorrhea; whole-genome sequencing.