Disseminated Gonococcal Infection in Elderly Patients

Disseminated Gonococcal Infection in Elderly Patients

Disseminated gonococcal infection in elderly patients.

Four elderly patients (71, 53, 57, and 62 years old) had disseminated gonococcal infection. Three patients presented with suppurative arthritis and the fourth with fever, skin lesions, and malaise. Although the signs and symptoms did not differ from those in the younger age group, the diagnosis was not considered clinically. All gonococci were susceptible to penicillin.

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 ...

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: 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...