Disseminated gonococcal infection: A case report of gonococcal polyarthritis
1 Infectious Diseases Department, Ibn Rochd University Hospital Casablanca, Morocco.
2 Orthopedic and Traumatology Department, Ibn Rochd University Hospital Casablanca, Morocco.
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(02), 093–095
Article DOI: 10.30574/wjarr.2024.22.2.1264
Publication history:
Received on 22 March 2024; revised on 28 April 2024; accepted on 30 April 2024
Abstract:
Neisseria gonorrhoeae (N. gonorrhoeae) is a sexually transmitted pathogen and its dissemination can lead to a variety of clinical signs and symptoms, such as arthralgias and arthritis. We report a case of an immunocompetent, 20-year- old patient with purulent arthritis due to disseminated gonococcal infection (DGI). Before discharge diagnosis, the patient was treated for rheumatoid arthritis, which worsened his clinical condition and delayed diagnosis. On further questioning, the patient reported urethral discharge, then the causative agent was identified by performing a PCR on the first stream of urine which came back positive for Neisseria gonorrhoeae. This case’s aim is to demonstrate an infrequently seen manifestation of Neisseria gonorrhoeae, since the incidence of N. gonorrhoeae infections has increased in recent years, and to highlight the need for awareness of extragenital manifestations of gonococcal infection especially in young adults.
Keywords:
Neisseria gonorrhoeae; Disseminated gonococcal infection; Arthritis; Pathogen identification
Full text article in PDF:
Copyright information:
Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0