Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection

Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection

Disseminated gonococcal infection (DGI) is a rare complication of primary infection with Neisseria gonorrhoeae. Cardiac involvement in this condition is rare, and is usually limited to endocarditis. However, there are a number of older reports suggestive of direct myocardial involvement. We report a case of a 38-year-old male with HIV who presented with chest pain, pharyngitis, tenosynovitis, a...

Gonococcal arthritis (disseminated gonococcal infection).

Septic arthritis caused by N gonorrhoeae is monoarticular or pauciarticular, and is more commonly associated with positive synovial fluid cultures and negative blood cultures. Gonococcal bacteremia is more likely to be associated with polyarthralgias and skin lesions. The diagnosis of gonococcal arthritis or DGI is also secure if a mucosal gonococcal infection is documented in the presence of a...

Disseminated gonococcal infection in an elderly patient.

A protein profile disclosed no abnormalities except for mild hypoalbuminaemia (30 g/W). Antibodies against hepatitis B surface antigens and hepatitis B core antigens were positive. A test for hepatitis surface B antigen was negative. Complement C3 and C4 were normal. Immunoglobulin A was 5 g/l (normal <3-75). Tests for IgG and IgM, rheumatoid factor, antinuclear antibodies, the Veneral Disease ...

Disseminated Gonococcal Infection in Elderly Patients

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 pustular rash and tenosynovitis of hand and was sent home on Augmentin. Her symptoms worsened despite...