Cargando…

A Rare Case of Disseminated Pyogenic Gonococcal Infection in an Immunocompetent Woman

We present a case of previously healthy, immunocompetent, 41-year-old woman who developed systemic inflammatory response syndrome secondary to Neisseria gonorrhoeae bacteremia. Clinical course was complicated by the simultaneous formation of multiple muscular abscesses, epidural abscess, and septic...

Descripción completa

Detalles Bibliográficos
Autores principales: Romiopoulos, Iordanis, Pyrpasopoulou, Athina, Varouktsi, Anna, Simoulidou, Elisavet, Kontopoulou, Konstantina, Karantani, Ekaterini, Georgopoulou, Vivian, Kitsios, Konstantinos, Mamopoulos, Apostolos, Antachopoulos, Charalampos, Karagiannis, Asterios, Roilides, Emmanuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223004/
https://www.ncbi.nlm.nih.gov/pubmed/28116187
http://dx.doi.org/10.1155/2016/9629761
_version_ 1782493093414567936
author Romiopoulos, Iordanis
Pyrpasopoulou, Athina
Varouktsi, Anna
Simoulidou, Elisavet
Kontopoulou, Konstantina
Karantani, Ekaterini
Georgopoulou, Vivian
Kitsios, Konstantinos
Mamopoulos, Apostolos
Antachopoulos, Charalampos
Karagiannis, Asterios
Roilides, Emmanuel
author_facet Romiopoulos, Iordanis
Pyrpasopoulou, Athina
Varouktsi, Anna
Simoulidou, Elisavet
Kontopoulou, Konstantina
Karantani, Ekaterini
Georgopoulou, Vivian
Kitsios, Konstantinos
Mamopoulos, Apostolos
Antachopoulos, Charalampos
Karagiannis, Asterios
Roilides, Emmanuel
author_sort Romiopoulos, Iordanis
collection PubMed
description We present a case of previously healthy, immunocompetent, 41-year-old woman who developed systemic inflammatory response syndrome secondary to Neisseria gonorrhoeae bacteremia. Clinical course was complicated by the simultaneous formation of multiple muscular abscesses, epidural abscess, and septic spondylodiscitis. The patient responded well to prolonged ceftriaxone treatment and was released 10 weeks after initial admission. Spinal lesions and/or pyomyositis individually constitute rare complications of disseminated gonococcal infection. This case, combining both manifestations, is to our knowledge unique. Apropos, diversity of the clinical presentation, and therapeutic challenges for this historical disease are discussed for the practicing physician.
format Online
Article
Text
id pubmed-5223004
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-52230042017-01-23 A Rare Case of Disseminated Pyogenic Gonococcal Infection in an Immunocompetent Woman Romiopoulos, Iordanis Pyrpasopoulou, Athina Varouktsi, Anna Simoulidou, Elisavet Kontopoulou, Konstantina Karantani, Ekaterini Georgopoulou, Vivian Kitsios, Konstantinos Mamopoulos, Apostolos Antachopoulos, Charalampos Karagiannis, Asterios Roilides, Emmanuel Case Rep Infect Dis Case Report We present a case of previously healthy, immunocompetent, 41-year-old woman who developed systemic inflammatory response syndrome secondary to Neisseria gonorrhoeae bacteremia. Clinical course was complicated by the simultaneous formation of multiple muscular abscesses, epidural abscess, and septic spondylodiscitis. The patient responded well to prolonged ceftriaxone treatment and was released 10 weeks after initial admission. Spinal lesions and/or pyomyositis individually constitute rare complications of disseminated gonococcal infection. This case, combining both manifestations, is to our knowledge unique. Apropos, diversity of the clinical presentation, and therapeutic challenges for this historical disease are discussed for the practicing physician. Hindawi Publishing Corporation 2016 2016-12-27 /pmc/articles/PMC5223004/ /pubmed/28116187 http://dx.doi.org/10.1155/2016/9629761 Text en Copyright © 2016 Iordanis Romiopoulos et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Romiopoulos, Iordanis
Pyrpasopoulou, Athina
Varouktsi, Anna
Simoulidou, Elisavet
Kontopoulou, Konstantina
Karantani, Ekaterini
Georgopoulou, Vivian
Kitsios, Konstantinos
Mamopoulos, Apostolos
Antachopoulos, Charalampos
Karagiannis, Asterios
Roilides, Emmanuel
A Rare Case of Disseminated Pyogenic Gonococcal Infection in an Immunocompetent Woman
title A Rare Case of Disseminated Pyogenic Gonococcal Infection in an Immunocompetent Woman
title_full A Rare Case of Disseminated Pyogenic Gonococcal Infection in an Immunocompetent Woman
title_fullStr A Rare Case of Disseminated Pyogenic Gonococcal Infection in an Immunocompetent Woman
title_full_unstemmed A Rare Case of Disseminated Pyogenic Gonococcal Infection in an Immunocompetent Woman
title_short A Rare Case of Disseminated Pyogenic Gonococcal Infection in an Immunocompetent Woman
title_sort rare case of disseminated pyogenic gonococcal infection in an immunocompetent woman
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223004/
https://www.ncbi.nlm.nih.gov/pubmed/28116187
http://dx.doi.org/10.1155/2016/9629761
work_keys_str_mv AT romiopoulosiordanis ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT pyrpasopoulouathina ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT varouktsianna ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT simoulidouelisavet ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT kontopouloukonstantina ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT karantaniekaterini ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT georgopoulouvivian ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT kitsioskonstantinos ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT mamopoulosapostolos ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT antachopouloscharalampos ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT karagiannisasterios ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT roilidesemmanuel ararecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT romiopoulosiordanis rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT pyrpasopoulouathina rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT varouktsianna rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT simoulidouelisavet rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT kontopouloukonstantina rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT karantaniekaterini rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT georgopoulouvivian rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT kitsioskonstantinos rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT mamopoulosapostolos rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT antachopouloscharalampos rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT karagiannisasterios rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman
AT roilidesemmanuel rarecaseofdisseminatedpyogenicgonococcalinfectioninanimmunocompetentwoman