Flexor Tenosynovitis Caused by Neisseria gonorrhea Infection: Case Series, Literature Review, and Treatment Recommendations
Neisseria gonorrhoeae is the most common sexually transmitted disease in the world and is known to cause disseminated disease, most commonly tenosynovitis. Classically, gonorrhea-associated tenosynovitis presents with concomitant dermatitis and arthralgias, though this is not always the case. N. gon...
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Format: | Article |
Language: | English |
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Thieme Medical Publishers, Inc.
2023-03-01
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Series: | Archives of Plastic Surgery |
Subjects: | |
Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1938-0837 |
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author | Nirbhay Jain Sean Saadat Mytien Goldberg |
author_facet | Nirbhay Jain Sean Saadat Mytien Goldberg |
author_sort | Nirbhay Jain |
collection | DOAJ |
description | Neisseria gonorrhoeae is the most common sexually transmitted disease in the world and is known to cause disseminated disease, most commonly tenosynovitis. Classically, gonorrhea-associated tenosynovitis presents with concomitant dermatitis and arthralgias, though this is not always the case. N. gonorrhoeae-related tenosynovitis has become more commonly seen by hand surgeons. To aid in management, we present three cases of gonorrhea-induced tenosynovitis spanning a range of presentations with variable treatments to demonstrate the variety of patients with this disease. Only one of our patients had a positive gonococcal screening test and no patient had purulent urethritis, the most common gonorrhea-related symptom. A separate patient had the classic triad of tenosynovitis, dermatitis, and arthralgias. Two patients underwent operative irrigation and debridement, and one was managed with anti-gonococcal antibiotics alone. Though gonorrhea is a rare cause of flexor tenosynovitis, it must always be on the differential for hand surgeons when they encounter this diagnosis. Taking an appropriate sexual history and performing routine screening tests can assist in the diagnosis, the prescription of appropriate antibiotics, and potentially avoiding an unnecessary operation. |
first_indexed | 2024-04-09T21:10:13Z |
format | Article |
id | doaj.art-cd75360605d74375888e048f062dc2e3 |
institution | Directory Open Access Journal |
issn | 2234-6163 2234-6171 |
language | English |
last_indexed | 2024-04-09T21:10:13Z |
publishDate | 2023-03-01 |
publisher | Thieme Medical Publishers, Inc. |
record_format | Article |
series | Archives of Plastic Surgery |
spelling | doaj.art-cd75360605d74375888e048f062dc2e32023-03-28T23:45:00ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712023-03-01500221621910.1055/a-1938-0837Flexor Tenosynovitis Caused by Neisseria gonorrhea Infection: Case Series, Literature Review, and Treatment RecommendationsNirbhay Jain0Sean Saadat1Mytien Goldberg2Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, CaliforniaDivision of Plastic and Reconstructive Surgery, University of California, Los Angeles, CaliforniaDivision of Plastic and Reconstructive Surgery, University of California, Los Angeles, CaliforniaNeisseria gonorrhoeae is the most common sexually transmitted disease in the world and is known to cause disseminated disease, most commonly tenosynovitis. Classically, gonorrhea-associated tenosynovitis presents with concomitant dermatitis and arthralgias, though this is not always the case. N. gonorrhoeae-related tenosynovitis has become more commonly seen by hand surgeons. To aid in management, we present three cases of gonorrhea-induced tenosynovitis spanning a range of presentations with variable treatments to demonstrate the variety of patients with this disease. Only one of our patients had a positive gonococcal screening test and no patient had purulent urethritis, the most common gonorrhea-related symptom. A separate patient had the classic triad of tenosynovitis, dermatitis, and arthralgias. Two patients underwent operative irrigation and debridement, and one was managed with anti-gonococcal antibiotics alone. Though gonorrhea is a rare cause of flexor tenosynovitis, it must always be on the differential for hand surgeons when they encounter this diagnosis. Taking an appropriate sexual history and performing routine screening tests can assist in the diagnosis, the prescription of appropriate antibiotics, and potentially avoiding an unnecessary operation.http://www.thieme-connect.de/DOI/DOI?10.1055/a-1938-0837flexor tenosynovitisgonorrheanonoperative management |
spellingShingle | Nirbhay Jain Sean Saadat Mytien Goldberg Flexor Tenosynovitis Caused by Neisseria gonorrhea Infection: Case Series, Literature Review, and Treatment Recommendations Archives of Plastic Surgery flexor tenosynovitis gonorrhea nonoperative management |
title | Flexor Tenosynovitis Caused by Neisseria gonorrhea Infection: Case Series, Literature Review, and Treatment Recommendations |
title_full | Flexor Tenosynovitis Caused by Neisseria gonorrhea Infection: Case Series, Literature Review, and Treatment Recommendations |
title_fullStr | Flexor Tenosynovitis Caused by Neisseria gonorrhea Infection: Case Series, Literature Review, and Treatment Recommendations |
title_full_unstemmed | Flexor Tenosynovitis Caused by Neisseria gonorrhea Infection: Case Series, Literature Review, and Treatment Recommendations |
title_short | Flexor Tenosynovitis Caused by Neisseria gonorrhea Infection: Case Series, Literature Review, and Treatment Recommendations |
title_sort | flexor tenosynovitis caused by neisseria gonorrhea infection case series literature review and treatment recommendations |
topic | flexor tenosynovitis gonorrhea nonoperative management |
url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1938-0837 |
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