Disseminated Neisseria Gonorrhoeae of the Wrist

被引：5

作者：

Douedi, Steven ^{[1
]}

Dattadeen, Jaraad ^{[1
]}

Akoluk, Arda ^{[1
]}

Liu, Edward ^{[2
]}

机构：

[1] Jersey Shore Univ, Med Ctr, Dept Med, Hackensack Meridian Hlth, Neptune, NJ 07753 USA

[2] Jersey Shore Univ, Med Ctr, Dept Infect Dis, Hackensack Meridian Hlth, Neptune, NJ 07753 USA

来源：

IDCASES | 2020年 / 20卷

关键词：

Neisseria gonorrhoeae; Disseminated; Infection; Septic arthritis; Joint pain; Bacteremia;

D O I：

10.1016/j.idcr.2020.e00763

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Disseminated gonococcal infection (DGI) is seen in about 0.5-3% of patients with Neisseria gonorrhoeae. Patients with DGI present with mucosal involvement, septic arthritis and sometimes bacteremia. We present a case of a 62-year-old female with a history of HIV and rheumatoid arthritis admitted with DGI and septic arthritis of the wrist without mucosal involvement or systemic symptoms. The patient underwent incision and drainage with arthrotomy of the right wrist by hand surgery and received a 2-week course of intravenous ceftriaxone. After surgery and initiation of antibiotic treatment, there was marked improvement of her symptoms and she remains asymptomatic at follow-up. (c) 2020 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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