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A Mysterious Case of Left Shoulder Pain in AIDS: A Case Report and Literature Review
Neisseria (N.) gonorrhea is a gram-negative diplococcus and one of the most commonly reported sexually transmitted infections (STIs) in the United States. Disseminated gonococcal infection is a rare but serious complication of N. gonorrhoeae infection that can result in arthritis-dermatitis syndrome...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10257405/ https://www.ncbi.nlm.nih.gov/pubmed/37303361 http://dx.doi.org/10.7759/cureus.38884 |
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author | Johnson, Kendall Ghantarchyan, Henrik Johnston, Brandon Sond, Veerpal Vo, Dan |
author_facet | Johnson, Kendall Ghantarchyan, Henrik Johnston, Brandon Sond, Veerpal Vo, Dan |
author_sort | Johnson, Kendall |
collection | PubMed |
description | Neisseria (N.) gonorrhea is a gram-negative diplococcus and one of the most commonly reported sexually transmitted infections (STIs) in the United States. Disseminated gonococcal infection is a rare but serious complication of N. gonorrhoeae infection that can result in arthritis-dermatitis syndrome or purulent gonococcal arthritis. Co-infection with human immunodeficiency virus (HIV) has been shown to reduce the efficacy of complement recruitment, which may lead to an increased risk of disseminated gonococcal spread. We present a case of a 41-year-old male with concomitant HIV-gonorrhea infection complicated by rare chronic subacute septic arthritis localized to the left shoulder. The patient had a history of HIV, hypertension, and diabetes, and presented with symptoms, including diarrhea, oral thrush, body aches, and fevers. During his hospitalization, the patient developed increasing left shoulder pain, and imaging and joint aspiration revealed N. gonorrhoeae as the causative agent. The patient was treated with appropriate antibiotics and showed improvement. This case highlights the importance of considering disseminated gonococcal infection as a potential complication of N. gonorrhoeae infection, particularly in patients with concomitant HIV infection, and the need for prompt diagnosis and appropriate treatment to prevent complications. |
format | Online Article Text |
id | pubmed-10257405 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-102574052023-06-11 A Mysterious Case of Left Shoulder Pain in AIDS: A Case Report and Literature Review Johnson, Kendall Ghantarchyan, Henrik Johnston, Brandon Sond, Veerpal Vo, Dan Cureus Internal Medicine Neisseria (N.) gonorrhea is a gram-negative diplococcus and one of the most commonly reported sexually transmitted infections (STIs) in the United States. Disseminated gonococcal infection is a rare but serious complication of N. gonorrhoeae infection that can result in arthritis-dermatitis syndrome or purulent gonococcal arthritis. Co-infection with human immunodeficiency virus (HIV) has been shown to reduce the efficacy of complement recruitment, which may lead to an increased risk of disseminated gonococcal spread. We present a case of a 41-year-old male with concomitant HIV-gonorrhea infection complicated by rare chronic subacute septic arthritis localized to the left shoulder. The patient had a history of HIV, hypertension, and diabetes, and presented with symptoms, including diarrhea, oral thrush, body aches, and fevers. During his hospitalization, the patient developed increasing left shoulder pain, and imaging and joint aspiration revealed N. gonorrhoeae as the causative agent. The patient was treated with appropriate antibiotics and showed improvement. This case highlights the importance of considering disseminated gonococcal infection as a potential complication of N. gonorrhoeae infection, particularly in patients with concomitant HIV infection, and the need for prompt diagnosis and appropriate treatment to prevent complications. Cureus 2023-05-11 /pmc/articles/PMC10257405/ /pubmed/37303361 http://dx.doi.org/10.7759/cureus.38884 Text en Copyright © 2023, Johnson et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Johnson, Kendall Ghantarchyan, Henrik Johnston, Brandon Sond, Veerpal Vo, Dan A Mysterious Case of Left Shoulder Pain in AIDS: A Case Report and Literature Review |
title | A Mysterious Case of Left Shoulder Pain in AIDS: A Case Report and Literature Review |
title_full | A Mysterious Case of Left Shoulder Pain in AIDS: A Case Report and Literature Review |
title_fullStr | A Mysterious Case of Left Shoulder Pain in AIDS: A Case Report and Literature Review |
title_full_unstemmed | A Mysterious Case of Left Shoulder Pain in AIDS: A Case Report and Literature Review |
title_short | A Mysterious Case of Left Shoulder Pain in AIDS: A Case Report and Literature Review |
title_sort | mysterious case of left shoulder pain in aids: a case report and literature review |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10257405/ https://www.ncbi.nlm.nih.gov/pubmed/37303361 http://dx.doi.org/10.7759/cureus.38884 |
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