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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...

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Autores principales: Johnson, Kendall, Ghantarchyan, Henrik, Johnston, Brandon, Sond, Veerpal, Vo, Dan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
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.
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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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