Disseminated gonococcal infection: an unusual presentation
Gonococcus typically affects the mucosal surfaces but in rare cases can spread to bloodstream causing disseminated gonococcal infection (DGI). The usual presentation of DGI is rash, polyarthralgia, and tenosynovitis. We present the case of a 23-year-old female who presented to our hospital with pust...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Greater Baltimore Medical Center
2016-07-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://www.jchimp.net/index.php/jchimp/article/view/31841/pdf_172 |
| _version_ | 1797973003447828480 |
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| author | Saroj Lohani Salik Nazir Niranjan Tachamo Nitin Patel |
| author_facet | Saroj Lohani Salik Nazir Niranjan Tachamo Nitin Patel |
| author_sort | Saroj Lohani |
| collection | DOAJ |
| description | Gonococcus typically affects the mucosal surfaces but in rare cases can spread to bloodstream causing disseminated gonococcal infection (DGI). The usual presentation of DGI is rash, polyarthralgia, and tenosynovitis. We present the case of a 23-year-old female who presented to our hospital with pustular rash and tenosynovitis of hand and was sent home on Augmentin. Her symptoms worsened despite treatment and she presented back to the ED. On investigation, she was found to have DGI and was appropriately treated. DGI should be kept in mind in sexually active youngsters who have only one or two features of the classic triad of rash, tenosynovitis, and arthritis. Timely management and appropriate treatment of DGI is very important to avoid complications and morbidity. |
| first_indexed | 2024-04-11T03:57:31Z |
| format | Article |
| id | doaj.art-86f7ac5443ff4f98901207a4b8d15035 |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T03:57:31Z |
| publishDate | 2016-07-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-86f7ac5443ff4f98901207a4b8d150352023-01-02T00:12:07ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662016-07-01631210.3402/jchimp.v6.3184131841Disseminated gonococcal infection: an unusual presentationSaroj Lohani0Salik Nazir1Niranjan Tachamo2Nitin Patel3Department of Medicine, Reading Hospital and Medical Centre, West Reading, PA, USADepartment of Medicine, Reading Hospital and Medical Centre, West Reading, PA, USADepartment of Medicine, Reading Hospital and Medical Centre, West Reading, PA, USADepartment of Medicine, Reading Hospital and Medical Centre, West Reading, PA, USAGonococcus typically affects the mucosal surfaces but in rare cases can spread to bloodstream causing disseminated gonococcal infection (DGI). The usual presentation of DGI is rash, polyarthralgia, and tenosynovitis. We present the case of a 23-year-old female who presented to our hospital with pustular rash and tenosynovitis of hand and was sent home on Augmentin. Her symptoms worsened despite treatment and she presented back to the ED. On investigation, she was found to have DGI and was appropriately treated. DGI should be kept in mind in sexually active youngsters who have only one or two features of the classic triad of rash, tenosynovitis, and arthritis. Timely management and appropriate treatment of DGI is very important to avoid complications and morbidity.http://www.jchimp.net/index.php/jchimp/article/view/31841/pdf_172disseminatedgonococcustenosynovitisculturerasharthritis |
| spellingShingle | Saroj Lohani Salik Nazir Niranjan Tachamo Nitin Patel Disseminated gonococcal infection: an unusual presentation Journal of Community Hospital Internal Medicine Perspectives disseminated gonococcus tenosynovitis culture rash arthritis |
| title | Disseminated gonococcal infection: an unusual presentation |
| title_full | Disseminated gonococcal infection: an unusual presentation |
| title_fullStr | Disseminated gonococcal infection: an unusual presentation |
| title_full_unstemmed | Disseminated gonococcal infection: an unusual presentation |
| title_short | Disseminated gonococcal infection: an unusual presentation |
| title_sort | disseminated gonococcal infection an unusual presentation |
| topic | disseminated gonococcus tenosynovitis culture rash arthritis |
| url | http://www.jchimp.net/index.php/jchimp/article/view/31841/pdf_172 |
| work_keys_str_mv | AT sarojlohani disseminatedgonococcalinfectionanunusualpresentation AT saliknazir disseminatedgonococcalinfectionanunusualpresentation AT niranjantachamo disseminatedgonococcalinfectionanunusualpresentation AT nitinpatel disseminatedgonococcalinfectionanunusualpresentation |