A case of disseminated gonococcal infection without typical skin rash
Autor(es): Yokota Kazuhisa, Gomi Harumi, Morisawa Yuji
Resumo: Few case reports have been published on disseminated gonococcal infection in Japan. We report such a non-HIV case without typical skin rash. A 49-year-old Japanese man living in Thail- on business was seen for fever - multiple arthralgia after returning to Japan. Given the travel history, differential diagnoses included endemic viral infection such as human immunodeficiency virus (HIV), dengue fever, - chikungunya. Diagnosis was based on right-knee arthrocentesis, - synovial fluid culture followed by Neisseria gonorrhoeae polymerase chain reaction (PCR). The isolated strain was sensitive to penicillin. The man was treated with intravenous ceftriaxone - oral levofloxacin. Disseminated gonococcal infection should thus be considered when examining those with classical polyarthralgia symptoms even without a typical skin rash.
Palavras-Chave: Disseminated gonococcal infection; Gonococcal arthritis
Imprenta: The Journal of the Japanese Association for Infectious Diseases, v. 85, n. 4, p. 370-372, 2011
Descritores: Chikungunya Virus - Virus; Chikungunya virus - Chikungunya fever; Chikungunya virus - Dengue
Data de publicação: 2011
