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Disseminated Gonococcal Infection With Dermatitis-Arthritis Syndrome
Gonorrhea is a sexually transmitted infection caused by gram-negative diplococci, Neisseria gonorrhoeae. Disseminated gonorrhea is diagnosed infrequently, partly due to low suspicion at the time of presentation, and at times, due to overlapping symptoms associated with non-infectious conditions like...
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/PMC10564561/ https://www.ncbi.nlm.nih.gov/pubmed/37822430 http://dx.doi.org/10.7759/cureus.44991 |
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author | Humayun, Sara Bali, Atul Avula, Sreekant Naik, Roopa |
author_facet | Humayun, Sara Bali, Atul Avula, Sreekant Naik, Roopa |
author_sort | Humayun, Sara |
collection | PubMed |
description | Gonorrhea is a sexually transmitted infection caused by gram-negative diplococci, Neisseria gonorrhoeae. Disseminated gonorrhea is diagnosed infrequently, partly due to low suspicion at the time of presentation, and at times, due to overlapping symptoms associated with non-infectious conditions like systemic lupus erythematosus (SLE). In this article, we present a 42-year-old sexually active female with knee pain and swelling, fever, and rash. Knee aspirate showed the presence of monosodium urate crystals, and the synovial culture grew gram-negative diplococci, requiring multiple joint washouts. The urine nucleic acid amplification test (NAAT) was indeterminate. She was treated with high-dose intravenous ceftriaxone for one week post-joint washout with rapid improvement in her condition and resolution of the rash. |
format | Online Article Text |
id | pubmed-10564561 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-105645612023-10-11 Disseminated Gonococcal Infection With Dermatitis-Arthritis Syndrome Humayun, Sara Bali, Atul Avula, Sreekant Naik, Roopa Cureus Dermatology Gonorrhea is a sexually transmitted infection caused by gram-negative diplococci, Neisseria gonorrhoeae. Disseminated gonorrhea is diagnosed infrequently, partly due to low suspicion at the time of presentation, and at times, due to overlapping symptoms associated with non-infectious conditions like systemic lupus erythematosus (SLE). In this article, we present a 42-year-old sexually active female with knee pain and swelling, fever, and rash. Knee aspirate showed the presence of monosodium urate crystals, and the synovial culture grew gram-negative diplococci, requiring multiple joint washouts. The urine nucleic acid amplification test (NAAT) was indeterminate. She was treated with high-dose intravenous ceftriaxone for one week post-joint washout with rapid improvement in her condition and resolution of the rash. Cureus 2023-09-10 /pmc/articles/PMC10564561/ /pubmed/37822430 http://dx.doi.org/10.7759/cureus.44991 Text en Copyright © 2023, Humayun 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 | Dermatology Humayun, Sara Bali, Atul Avula, Sreekant Naik, Roopa Disseminated Gonococcal Infection With Dermatitis-Arthritis Syndrome |
title | Disseminated Gonococcal Infection With Dermatitis-Arthritis Syndrome |
title_full | Disseminated Gonococcal Infection With Dermatitis-Arthritis Syndrome |
title_fullStr | Disseminated Gonococcal Infection With Dermatitis-Arthritis Syndrome |
title_full_unstemmed | Disseminated Gonococcal Infection With Dermatitis-Arthritis Syndrome |
title_short | Disseminated Gonococcal Infection With Dermatitis-Arthritis Syndrome |
title_sort | disseminated gonococcal infection with dermatitis-arthritis syndrome |
topic | Dermatology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10564561/ https://www.ncbi.nlm.nih.gov/pubmed/37822430 http://dx.doi.org/10.7759/cureus.44991 |
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