Gonococcal endocarditis: an ever-present threat

Gonococcal endocarditis: an ever-present threat

The incidence of severe complications of the Neisseria gonorrhoeae infection has presented variations over recent decades since the advent of penicillin. Gonococcal endocarditis (GE) still remains an ever-present threat afflicting the society's poor and sexually active young population. This entity frequently requires surgical intervention and usually exhibits a poor outcome. The interval betwe...

Methicillin-resistant Staphylococcus aureus: an ever emerging threat

Staphylococcus aureus is an ubiquitous bacterium that is frequently part of the human microflora, causing disease when the immune system becomes compromized. Although S. aureus can be found in different parts of the body, anterior nares are the main ecological reservoir in humans [1]. This versatile pathogen is responsible for a wide variety of diseases, including superficial, systemic and life...

Isolated Gonococcal Pulmonary Valve Endocarditis: Diagnosis

The perplexing clinical course of a 23-year-old black male with isolated gonococcal pulmonary valvular endocarditis is presented. M-mode echocardiography provided the first clue to the presence of pulmonary valvular vegetations and the proper diagnosis. Since Neisseria gonorrhea appears to have a particular affinity for the pulmonary valve, the presence of isolated pulmonary valvular endocardit...

The emerging threat of untreatable gonococcal infection.

n engl j med 366;6 nejm.org february 9, 2012 485 Gonorrhea is the second most commonly reported communicable disease in the United States, with an estimated incidence of more than 600,000 cases annually. It disproportionately affects vulnerable populations such as minorities who are marginalized because of race, ethnic group, or sexual orientation. Unfortunately, Neisseria gonorrhoeae has alway...

Otorhinolaryngological manifestations associated to gastroesophageal reflux. An ever present theme!!!