40 results match your criteria Gonococcemia
CMAJ 2017 Dec;189(50):E1558-E1560
PGY-4, Adult Hematology (Khandelwal), Department of Internal Medicine; Division of Infectious Diseases and the Eliot Phillipson Clinician-Scientist Training Program (Wright), Department of Medicine, University of Toronto; Division of Transfusion Medicine (Pavenski), Department of Laboratory Medicine; Division of Infectious Diseases (Taggart), Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, Ont.
Dermatol Online J 2017 Jan 15;23(1). Epub 2017 Jan 15.
Medical School, Louisiana State University Health Sciences Center, New Orleans.
Background: Sexually transmitted infections, includingurogenital gonorrheal infection, are a growing healthconcern in the United States. Nearly 50% of cervicalinfections are asymptomatic. If left undiagnosedand untreated, there is a risk of disseminatedinfection. Read More
Clin Dermatol 2014 Mar-Apr;32(2):275-81
Division of Dermatovenereology, General Hospital "Dr Ivo Pedišić," J.J. Strossmayera 59, 44000 Sisak, Croatia.
As "a paradigm of the classical Venereology" for many decades, gonorrhea appears to be the second most common sexually transmitted infection of bacterial origin today. In spite of its mostly uncomplicated clinical course, gonorrhea may sometimes result with serious complications such as pelvic inflammatory disease, ectopic pregnancy, infertility, epididymitis, gonococcemia, and disseminated gonococcal infection. Perhaps the most important challenge today is the emergence of multidrug-resistant gonorrhea, which is currently the main reason for public concern. Read More
Lupus 2014 10;23(1):81-3. Epub 2013 Oct 10.
1Department of Internal Medicine, Centre Hospitalier Lyon Sud, Pierre Benite, France.
Gonorrhea is a common sexually transmitted infection, which can present as the 'arthritis-dermatitis syndrome'. Patients with systemic lupus erythematosus often develop disseminated neisserial infections, because of inherited and acquired complement deficiencies. Neisserial infection, and particularly gonococcemia, can mimic a lupus flare. Read More
Med Trop (Mars) 2010 Jun;70(3):223-5
Service de médecine interne, HIA Laveran, Marseille.
A French foreign legionnaire returning from Djibouti developed feverish polyarthritis with acral purpura. Diagnostic workup demonstrated gonococcemia contracted during unprotected fellatio. Based on this case report, diagnostic and therapeutic management is described. Read More
Rev Prat 2010 Apr;60(4):520-5
Service de dermato-vénédréologie et CIDDIST, pavilion Tamier, hôpital Cochin, AP-HP, 75006 Paris.
Sexually transmitted infections (STI) or diseases (STD) are sociologic markers reflecting sexual behaviours of individuals belonging to this society. Since 2000, the evolution of STI has been characterized by the recrudescence of syphilis, the appearance of resistance of gonococcus to fluoroquinolones and the emergence of lymphogranuloma venereum. These STI are nearly exclusively observed in men and predominantly in men having sex with men with a high proportion of HIV infected individuals from 15% in those consulting for gonococcemia to 100% in those diagnosed with lymphogranuloma venereum. Read More
Dermatol Clin 2009 Jan;27(1):49-61
Department of Dermatology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.
Sexually transmissible diseases (STDs) remain a major health issue worldwide, with approximately 300 million new cases annually. STDs caused by bacteria can be treated with antibiotics, although the susceptibility pattern of many etiologic microbes has changed over the past few decades. Syphilis remains best managed with single-dose benzathine penicillin G. Read More
Ann Allergy Asthma Immunol 2005 Feb;94(2):224-7
Department of Pediatrics, University of California, Davis, Medical Center, Sacramento, California 95817, USA.
Int J Dermatol 2003 Mar;42(3):208-9
Department of Dermatology, Mayo Clinic, Rochester, Minnesota, USA.
A 26-year-old woman presented with a high-grade fever and chills of 2 days' duration. She complained of associated joint pain, especially in the wrists and knees. One day before admission, tender skin lesions began to develop on the fingers, and subsequently spread to the more proximal extremities. Read More
J Reprod Med 1998 Dec;43(12):1043-5
Department of Medicine, Baragwanath Hospital, Johannesburg, South Africa.
Background: Disseminated gonocococcal infection arising during pregnancy is an uncommon occurrence. Gonococcemia following a threatened abortion has not been documented previously.
Case: Gonococcal arthritis and endocarditis in a 22-year-old primigravida occurred following a midtrimester threatened abortion. Read More
Can Fam Physician 1995 Aug;41:1300; 1311
University of Calgary.
Clin Infect Dis 1995 Jan;20(1):190
Rev Infect Dis 1991 Nov-Dec;13(6):1105-7
Department of Medicine, University of Washington School of Medicine, Seattle.
We report a case of gonococcemia that was associated with adult respiratory distress syndrome (ARDS). To our knowledge, this is only the third reported case of ARDS associated with gonococcemia. This is the first reported case of ARDS associated with gonococcemia that was documented by positive results of blood cultures and measurements of wedge pressure obtained by a catheter in the pulmonary artery. Read More
Arch Intern Med 1987 Feb;147(2):281-3
Sexually active young adults with an acute arthralgia or arthritis, with or without associated skin lesions, often have disseminated gonococcal infection (DGI). In recent years, an increasing proportion of patients seen with such complaints at the University of Washington Hospitals, Seattle, have had systemic meningococcal infection rather than DGI. Among 151 patients with acute arthritis studied prospectively from 1970 to 1972, blood or synovial fluid cultures yielded Neisseria gonorrhoeae in 30 patients and Neisseria meningitidis in two. Read More
J Am Acad Dermatol 1986 May;14(5 Pt 2):939-44
Pustular cutaneous vasculitis results from a heterogeneous group of disorders characterized by pustules on purpuric bases. Although the cause of this group of conditions is diverse, the histopathologic picture of the lesions is the same, showing a Sweet's-like or leukocytoclastic vasculitis. These distinctive lesions may occur in patients with Behçet's syndrome, bowel-associated dermatosis-arthritis syndrome, or chronic gonococcemia. Read More
Med Clin North Am 1985 May;69(3):487-504
The identification of hereditary and acquired complement deficiencies in humans has led to a better understanding of the biologic importance of the complement system in immunity and autoimmune disease. Although the understanding of the relevance of complement in the pathogenesis of disease is incomplete, several characteristic clinical syndromes associated with complement deficiencies have been recognized and should be known to the practicing clinician. In allergic diseases, one need recognize the C1 inhibitor deficiency syndromes which can present as severe, recurrent angioedema in childhood or in the adult as recurrent angioedema in association with a lymphoid malignancy or autoimmune disease. Read More
N Engl Reg Allergy Proc 1985 ;6(2):166-9
We describe the administration of penicillin for venereal disease in three penicillin-allergic patients for whom alternative antibiotics were not considered suitable. Each patient was skin test negative to the major penicillin determinant benzylpenicilloyl-polylysine and a minor determinant mixture of potassium penicillin, benzylpenicilloate and benzylpenicilloyl-n-propylamine provided by the National Institute of Allergy and Infectious Diseases. Therapeutic doses of penicillin were administered without anaphylaxis, but one patient developed serum sickness on day five following benzylpenicillin. Read More
Union Med Can 1984 Jan;113(1):54-6
Rev Rhum Mal Osteoartic 1981 Feb;48(2):127-32
Gonococcal arthritis, a rare complication of gonorrhoea, more frequent in women, causes polyarthritis in 75% of cases or monoarthritis. An erythematous skin rash or acute pustular rash (40%), recent signs of genital infection (75% of cases in man, less than 50% in women) suggest the diagnosis. The gonococcal nature of the arthritis is confirmed by isolation of the germ in the joint fluid, the blood and the skin biopsies. Read More
South Med J 1981 Feb;74(2):153-6
Thirty-four cases of meningococcal disease were identified in a retrospective survey of nine US Army posts in the southeastern United States from June 1977 to August 1979. Group B organisms predominated in dependents and civilian communities surrounding two of the posts, while active-duty personnel had a greater variety of organisms, with groups Y and C predominating. The spectrum of clinical presentation and severity was diverse. Read More
Arch Dermatol 1981 Jan;117(1):26-8
We describe here nine women who had similar distinctive clinical features that consisted of painful red-to-purple macules, papules, and plaques on the digits, predominantly on the toes. All patients reported that exposure to cold had preceded their symptoms. Histologic study demonstrated a lymphocytic vasculitis, characterized by lymphocytes infiltrating the walls of blood vessels in eight (88%) of nine lesions. Read More
Can Med Assoc J 1980 Nov;123(9):842, 844
Can Med Assoc J 1980 Aug;123(3):195-6
Am J Med 1980 May;68(5):793-6
A case is described in which chronic gonococcemia probably resulted in endocarditis, nephrotic syndrome and diffuse immune-complex glomerulonephritis. This is the 11th case of gonococcal endocarditis reported since 1948 and the first report with accompanying immunofluorescence and electron microscopy of the kidney. These studies revealed immune-complex nephritis to be the likely cause of the patient's deteriorating renal function. Read More
Chest 1980 Mar;77(3):434-6
A case of adult respiratory distress syndrome (ARDS) is described that was secondary to conococcal septicemia. The patient had severe hypoxemia and diffuse pulmonary infiltrates. The diagnosis of disseminated gonorrhea was confirmed by the isolation of Neisseria gonorrhoeae from one of several typical appearing skin lesions. Read More
Am J Clin Pathol 1979 Feb;71(2):184-9
The fluorescent gonorrhea test--heated (FGT-H), an indirect immunofluorescent method for detecting the presence of antigonococcal antibodies in serum, was evaluated in 1,000 women referred to a private clinic for the termination of pregnancy, 202 women treated at a municipal venereal disease clinic, and six women hospitalized with gonococcal bacteremia. The test was positive for 17.7% of private outpatients, even though gonococci were cultured from only 1. Read More
Cutis 1978 May;21(5):657-9
A case of a Moraxella osloensis bacteremia mimicking a case of gonococcemia, complete with cutaneous manifestations, is presented. The importance of confirming all positive smears with inhibitory and noninhibitory culture media is stressed. Read More
Obstet Gynecol 1976 Oct;48(4):428-30
A case of gonococcemia in pregnancy in which the patient presented with the classic clinical manifestations of gonococcemia--cutaneous lesions, arthritis, and possibly pericarditis--is reported. A review of the literature reveals a dramatic increase in incidence of gonorrhea and the increasing importance of the complications associated with this disease, particularly in pregnancy. Recommendations regarding recognition of gonococcemia, criteria for diagnosis, and treatment are presented. Read More
Minn Med 1976 Apr;59(4):230-1
Clin Pediatr (Phila) 1975 Nov;14(11):1037-40
Aviat Space Environ Med 1975 May;46(5):748
South Med J 1975 May;68(5):636-8
A 19-year-old man was admitted to the hospital with acute onset of fever, sore thoart, and leg pain. He gave a history of recent sexual activity and was found to have an exudative pharyngitis, two pustular skin lesions, and a hot, swollen left knee. Laboratory studies were consistent with an acute septic arthritis and the diagnosis of the gonococcal arthritis-dermatitis syndrome was entertained. Read More
Can Med Assoc J 1975 Apr;112(7):864-5
Over a 1-year period four patients were seen at the Jewish General Hospital with presumed disseminated gonococcemia. The patients' histories, clinical findings and responses to therapy strongly supported this diagnosis; however, cultures from various sites were negative for Neisseria gonorrhoeae in all four patients. Sexual contacts of these patients were traced and appropriate cultures were found to be positive, demonstrating the importance of tracing sexual contacts to help confirm the diagnosis in such patients. Read More
J Rheumatol 1975 Mar;2(1):83-90
In a series of 84 patients with gonococcal (GC) arthritis, 41 were documented as follows: 17 had positive blood culture or typical skin rash (Hematogenous Group); four had positive joint culture plus hematogenous manifestations (Transition Group); and 20 had positive joint culture without positive blood culture or skin rash (Joint Localization Group). The hematogenous group, especially patients with proved gonococcemia, presented significantly earlier after onset of symptoms than patients with joint localization alone, suggesting sequential stages of disease. Patients with verified bacteremia were significantly more toxic than those with rash or culture-proved joint infection alone. Read More
N Engl J Med 1970 Apr;282(14):793-4
JAMA 1966 Apr;196(1):101-3
Arch Dermatol 1965 Mar;91:227-32