Edorium Journal of

Infectious Diseases

 
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Case Report
 
Disseminated gonococcal infection in 21st century: A case report
Sumir Kumar1, Bharat Bhushan Mahajan2, Sandeep Kaur3
1MD, Assistant Professor, Department of Dermatology, Venereology & Leprology, GGS Medical College & Hospital, Faridkot, Punjab, India.
2MD, Professor & Head, Department of Dermatology, Venereology & Leprology, GGS Medical College & Hospital, Faridkot, Punjab, India.
3MBBS, Postgraduate Resident, Department of Dermatology, Venereology & Leprology, GGS Medical College & Hospital, Faridkot, Punjab, India.

Article ID: 100001I03SK2014
doi:10.5348/I03-2014-1-CR-1

Address correspondence to:
Sandeep Kaur
Skin OPD, 1st Floor, GGS Medical Hospital
Sadiq Road, Faridkot
Punjab
India 151203
Phone: 9779845246

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How to cite this article
Kumar S, Mahajan BB, Kaur S. Disseminated gonococcal infection in 21st century: A case report. Edorium J Infect Dis 2014;1:1–4.


Abstract
Introduction: Disseminated gonococcal infection (DGI) is an uncommon complication associated with Neisseria gonorrhoeae. But due to early diagnosis and use of newer drugs in gonorrhea, complications like DGI have become a rarity. It is more common in women than men. We herein report a case of this entity occurring in otherwise healthy male who presented with septic shock.
Case Report: An 18-year-old healthy male presented with urethral discharge, conjunctivitis, oral ulcerations, and tenosynovitis along with septic shock. History of unprotected sexual contact was present two weeks prior to the onset of above mentioned complaints. A clinical diagnosis of DGI was kept which was confirmed by the presence of gram negative diplococci in urethral and conjunctival discharge smears as well as isolation of gonococci on selective culture media. He responded well to injectable ceftriaxone therapy.
Conclusion: The presentation of DGI as septic shock in an immunocompetent male in the absence of predisposing factors is highlighted in this case report. Early diagnosis and treatment is the key to prevent devastating complications like meningitis, endocarditis, perihepatitis, etc. Moreover, infrequent occurrence of DGI calls for the need of introduction of diagnostic criteria in order to facilitate its prompt identification and treatment.

Keywords: Disseminated gonococcal infection (DGI), Gonorrhea, Neisseria gonorrhoeae, Shock


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Author Contributions
Sumir Kumar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Bharat Bhushan Mahajan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Sandeep Kaur – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Sumir Kumar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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