Label A, Tirelli LL, Luna PC, Llorca VL, Solé JJ, Vigovich FA, Larralde M

Language: Spanish
References: 9
Page: 75-79
PDF size: 329.58 Kb.

ABSTRACT

Gonorrhea is a sexually transmitted disease, which in most cases causes mucosal involvement. In a low percentage, it generates a picture known as disseminated gonococcal infection. Its difficulty at the time of diagnosis is due to the low sensitivity of the complementary methods and its chameleonic clinical presentation. It can be confused with different entities, such as syphilis, HIV, parvovirus B19 and autoinflammatory diseases. It is important to take into account when carrying out the treatment use a double scheme, with coverage of intracellular germs such as Chlamydia since up to 30% of cases there is preparation for both germs. It was decided to present a clinical case, which presented a diagnostic challenge due to its clinical heterogeneity, posing multiple differential diagnoses until arriving at the diagnosis of certainty. For this reason, we believe that it is important to consider disseminated gonococcal infection as a probable diagnosis in the face of clinical cases with similar characteristics.

REFERENCES

1. Beatrous SV, Grisoli SB, Riahi RR, Matherne RJ, Matherne RJ. Cutaneous manifestations of disseminated gonococcemia. Dermatol Online J. 2017; 23 (1): pii: 13030/qt33b24006.

2. Burns JE, Graf EH. The brief case: disseminated Neisseria gonorrhoeae in an 18-year-old female. J Clin Microbiol. 2018; 56 (4). pii: e00932-17.

3. Rueda DA, Aballay L, Orbea L, Carrozza DA, Finocchietto P, Hernandez SB et al. Fitz-Hugh-Curtis syndrome caused by gonococcal infection in a patient with systemic lupus erythematous: a case report and literature review. Am J Case Rep. 2017; 18: 1396-1400.

4. Lee MH, Byun J, Jung M, Yang JJ, Park KH, Moon SY et al. Disseminated gonococcal infection presenting as bacteremia and liver abscesses in a healthy adult. Infect Chemother. 2015; 47 (1): 60-63.

5. Lohani S, Nazir S, Tachamo N, Patel N. Disseminated gonococcal infection: an unusual presentation. J Community Hosp Intern Med Perspect. 2016; 6 (3): 31841.

6. Hagiya H, Onishi N, Ebara H, Hanayama Y, Kokeguchi S, Nose M et al. Disseminated gonococcal infection in an elderly Japanese man. Intern Med. 2013; 52 (23): 2669-2673.

7. Romiopoulos I, Pyrpasopoulou A, Varouktsi A, Simoulidou E, Kontopoulou K, Karantani E et al. A rare case of disseminated pyogenic gonococcal infection in an immunocompetent woman. Case Rep Infect Dis. 2016; 2016: 9629761.

8. Crew PE, Abara WE, McCulley L, Waldron PE, Kirkcaldy RD, Weston EJ et al. Disseminated gonococcal infections in patients receiving eculizumab: a case series. Clin Infect Dis. 2018. doi: 10.1093/cid/ciy958. [Epub ahead of print]

9. Bollea-Garlatti LA, Vaglio-Giors G, Guzzi-Maqueda M, Volonteri V, Galimberti R. Infección gonocócica diseminada. Dermatol Argent. 2013; 19 (4): 292-295.