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Gonococcal endocarditis with aortic root abscess and severe aortic insufficiency
Gonorrhea caused by Neisseria gonorrhoeae is a very common sexually transmitted infection in the United States and World-wide (Kirkcaldy et al., 2019) [1]. The population with highest prevalence is young sexually active adults aged 15–24 years. In a majority of cases, the presentation is asymptomati...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971643/ https://www.ncbi.nlm.nih.gov/pubmed/35369565 http://dx.doi.org/10.1016/j.idcr.2022.e01474 |
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author | Tailor, Neelam Dean, Matthew R. Dellalana, Michelle Jitendranath, Lavanya |
author_facet | Tailor, Neelam Dean, Matthew R. Dellalana, Michelle Jitendranath, Lavanya |
author_sort | Tailor, Neelam |
collection | PubMed |
description | Gonorrhea caused by Neisseria gonorrhoeae is a very common sexually transmitted infection in the United States and World-wide (Kirkcaldy et al., 2019) [1]. The population with highest prevalence is young sexually active adults aged 15–24 years. In a majority of cases, the presentation is asymptomatic however can range from vaginitis to pelvic inflammatory disease in women. Symptoms in men can include urethritis, epididymitis and proctitis. Disseminated disease is characterized by arthritis and tenosynovitis. Gonococcal endocarditis is a rare but life-threatening complication of disseminated gonococcal infection (DGI) occurring in 1–2% of patients with DGI (Shetty et al., 2004) [3]. Gonococcal endocarditis has a predisposition for aortic valve involvement with formation of large vegetation and valvular ring abscess. Only a handful of cases have been reported in the literature since the advent of penicillin. This case highlights the importance of timely diagnosis and appropriate surgical evaluation to prevent mortality in young patients that may present with this rare complication. |
format | Online Article Text |
id | pubmed-8971643 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-89716432022-04-02 Gonococcal endocarditis with aortic root abscess and severe aortic insufficiency Tailor, Neelam Dean, Matthew R. Dellalana, Michelle Jitendranath, Lavanya IDCases Case Report Gonorrhea caused by Neisseria gonorrhoeae is a very common sexually transmitted infection in the United States and World-wide (Kirkcaldy et al., 2019) [1]. The population with highest prevalence is young sexually active adults aged 15–24 years. In a majority of cases, the presentation is asymptomatic however can range from vaginitis to pelvic inflammatory disease in women. Symptoms in men can include urethritis, epididymitis and proctitis. Disseminated disease is characterized by arthritis and tenosynovitis. Gonococcal endocarditis is a rare but life-threatening complication of disseminated gonococcal infection (DGI) occurring in 1–2% of patients with DGI (Shetty et al., 2004) [3]. Gonococcal endocarditis has a predisposition for aortic valve involvement with formation of large vegetation and valvular ring abscess. Only a handful of cases have been reported in the literature since the advent of penicillin. This case highlights the importance of timely diagnosis and appropriate surgical evaluation to prevent mortality in young patients that may present with this rare complication. Elsevier 2022-03-15 /pmc/articles/PMC8971643/ /pubmed/35369565 http://dx.doi.org/10.1016/j.idcr.2022.e01474 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Tailor, Neelam Dean, Matthew R. Dellalana, Michelle Jitendranath, Lavanya Gonococcal endocarditis with aortic root abscess and severe aortic insufficiency |
title | Gonococcal endocarditis with aortic root abscess and severe aortic insufficiency |
title_full | Gonococcal endocarditis with aortic root abscess and severe aortic insufficiency |
title_fullStr | Gonococcal endocarditis with aortic root abscess and severe aortic insufficiency |
title_full_unstemmed | Gonococcal endocarditis with aortic root abscess and severe aortic insufficiency |
title_short | Gonococcal endocarditis with aortic root abscess and severe aortic insufficiency |
title_sort | gonococcal endocarditis with aortic root abscess and severe aortic insufficiency |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971643/ https://www.ncbi.nlm.nih.gov/pubmed/35369565 http://dx.doi.org/10.1016/j.idcr.2022.e01474 |
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