Disseminated Gonococcal Infection Presenting as Isolated Septic Arthritis: A Case Report and Review of Literature
is a gram-negative diplococcus that passes from one person to another through sexual contact. On rare occasions, may spread from the primary mucosal site to distant parts of the body and present with signs of systemic illness; this is commonly known as disseminated gonococcal infection (DGI). We pr...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-08, Vol.16 (8), p.e66071 |
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| creator | Sousou, John M Talati, Jay Mikulas, Christopher J Grogan, Ansley T Farah, James E Reddy, Pramod |
| description | is a gram-negative diplococcus that passes from one person to another through sexual contact. On rare occasions,
may spread from the primary mucosal site to distant parts of the body and present with signs of systemic illness; this is commonly known as disseminated gonococcal infection (DGI). We present a case report of an 18-year-old patient who was diagnosed with septic arthritis of the right third metacarpophalangeal (MCP) joint without mucosal involvement or systemic symptoms and who was found to have gonococcal bacteremia. This case highlights the importance of clinician awareness of the many extragenital manifestations of DGI and a high index of suspicion in the setting of septic arthritis and high-risk sexual practices. Diagnosing DGI early and providing prompt treatment may prevent complications of sepsis, joint destruction, and a prolonged hospital stay. |
| doi_str_mv | 10.7759/cureus.66071 |
| format | Article |
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may spread from the primary mucosal site to distant parts of the body and present with signs of systemic illness; this is commonly known as disseminated gonococcal infection (DGI). We present a case report of an 18-year-old patient who was diagnosed with septic arthritis of the right third metacarpophalangeal (MCP) joint without mucosal involvement or systemic symptoms and who was found to have gonococcal bacteremia. This case highlights the importance of clinician awareness of the many extragenital manifestations of DGI and a high index of suspicion in the setting of septic arthritis and high-risk sexual practices. Diagnosing DGI early and providing prompt treatment may prevent complications of sepsis, joint destruction, and a prolonged hospital stay.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.66071</identifier><identifier>PMID: 39229435</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Arthritis ; Asymptomatic ; Bone surgery ; Case reports ; Dermatitis ; Disease ; Edema ; Erythema ; Females ; Fingers & toes ; Gonorrhea ; Hospitals ; Infections ; Infectious Disease ; Internal Medicine ; Magnetic resonance imaging ; Medicine ; Orthopedics ; Pain ; Patients ; Pregnancy ; Sexual behavior</subject><ispartof>Curēus (Palo Alto, CA), 2024-08, Vol.16 (8), p.e66071</ispartof><rights>Copyright © 2024, Sousou et al.</rights><rights>Copyright © 2024, Sousou et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2024, Sousou et al. 2024 Sousou et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c300t-c1c9718af26f3960b437fc3e6cc683c1f13ae9e136c9f5c80e2e883f23bd6d8d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11368578/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11368578/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39229435$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sousou, John M</creatorcontrib><creatorcontrib>Talati, Jay</creatorcontrib><creatorcontrib>Mikulas, Christopher J</creatorcontrib><creatorcontrib>Grogan, Ansley T</creatorcontrib><creatorcontrib>Farah, James E</creatorcontrib><creatorcontrib>Reddy, Pramod</creatorcontrib><title>Disseminated Gonococcal Infection Presenting as Isolated Septic Arthritis: A Case Report and Review of Literature</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>is a gram-negative diplococcus that passes from one person to another through sexual contact. On rare occasions,
may spread from the primary mucosal site to distant parts of the body and present with signs of systemic illness; this is commonly known as disseminated gonococcal infection (DGI). We present a case report of an 18-year-old patient who was diagnosed with septic arthritis of the right third metacarpophalangeal (MCP) joint without mucosal involvement or systemic symptoms and who was found to have gonococcal bacteremia. This case highlights the importance of clinician awareness of the many extragenital manifestations of DGI and a high index of suspicion in the setting of septic arthritis and high-risk sexual practices. Diagnosing DGI early and providing prompt treatment may prevent complications of sepsis, joint destruction, and a prolonged hospital stay.</description><subject>Arthritis</subject><subject>Asymptomatic</subject><subject>Bone surgery</subject><subject>Case reports</subject><subject>Dermatitis</subject><subject>Disease</subject><subject>Edema</subject><subject>Erythema</subject><subject>Females</subject><subject>Fingers & toes</subject><subject>Gonorrhea</subject><subject>Hospitals</subject><subject>Infections</subject><subject>Infectious Disease</subject><subject>Internal Medicine</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Patients</subject><subject>Pregnancy</subject><subject>Sexual behavior</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkcFLXDEQh4NYVKy3niXQi4euTV72JXm9lGVt7cKCYttzyM6baORtsiZ5Fv_7pq6K9TQD8_ExP36EfODsVKm2-wxjwjGfSskU3yEHDZd6orme7r7a98lRzreMMc5UwxTbI_uia5puKtoDcnfmc8a1D7ZgT89jiBAB7EAXwSEUHwO9TJgxFB-uqc10kePwyP7ETfFAZ6ncJF98_kJndG4z0ivcxFSoDX1d7z3-odHRpS-YbKnvvifvnB0yHj3NQ_L7-7df8x-T5cX5Yj5bTkAwVibAoVNcW9dIJzrJVlOhHAiUAFIL4I4Lix1yIaFzLWiGDWotXCNWvex1Lw7J1613M67W2EONkOxgNsmvbXow0Xrz_yX4G3Md7w2vTt0qXQ0nT4YU70bMxax9BhwGGzCO2QjOWCuFmPKKfnyD3sYxhZqvUlWomo6xSn3aUpBizgndyzecmX99mm2f5rHPih-_TvACP7cn_gJdLJ4r</recordid><startdate>20240803</startdate><enddate>20240803</enddate><creator>Sousou, John M</creator><creator>Talati, Jay</creator><creator>Mikulas, Christopher J</creator><creator>Grogan, Ansley T</creator><creator>Farah, James E</creator><creator>Reddy, Pramod</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240803</creationdate><title>Disseminated Gonococcal Infection Presenting as Isolated Septic Arthritis: A Case Report and Review of Literature</title><author>Sousou, John M ; 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may spread from the primary mucosal site to distant parts of the body and present with signs of systemic illness; this is commonly known as disseminated gonococcal infection (DGI). We present a case report of an 18-year-old patient who was diagnosed with septic arthritis of the right third metacarpophalangeal (MCP) joint without mucosal involvement or systemic symptoms and who was found to have gonococcal bacteremia. This case highlights the importance of clinician awareness of the many extragenital manifestations of DGI and a high index of suspicion in the setting of septic arthritis and high-risk sexual practices. Diagnosing DGI early and providing prompt treatment may prevent complications of sepsis, joint destruction, and a prolonged hospital stay.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>39229435</pmid><doi>10.7759/cureus.66071</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Arthritis Asymptomatic Bone surgery Case reports Dermatitis Disease Edema Erythema Females Fingers & toes Gonorrhea Hospitals Infections Infectious Disease Internal Medicine Magnetic resonance imaging Medicine Orthopedics Pain Patients Pregnancy Sexual behavior |
| title | Disseminated Gonococcal Infection Presenting as Isolated Septic Arthritis: A Case Report and Review of Literature |
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