Gonococcal osteomyelitis in a pediatric patient with disseminated gonococcal infection: Implications for antimicrobial management

IDCases

Benjamin Schaffler¹  William Liakos²  Stefan H.F. Hagmann²  Sujatha Rajan² 

[1] Corresponding author.;Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, New York, 11549, United States;

关键词: Neisseria gonorrhoeae;    Disseminated gonococcal infection;    Gonococcal septic arthritis;    Gonococcal osteomyelitis;    Antibiotic resistance;   

DOI  :  

来源: DOAJ

【 摘 要 】

We report a case of a female teenager with gonococcal septic arthritis of the right shoulder that also caused osteomyelitis of the humeral head. Infection with Neisseria gonorrhoeae is a frequently diagnosed sexually transmitted infection in the sexually active teenage population and disseminated gonococcal infection (DGI) is the most common systemic manifestation of acute gonorrhea. DGI commonly involves acute arthritis, tenosynovitis and dermatitis with less common complications of endocarditis, hepatitis and meningitis. In contrast, osteomyelitis has only rarely been reported as a result of gonococcal infection. Clinicians need to be aware of this unusual manifestation of DGI as a prolonged duration of antimicrobial treatment may be needed to assure complete resolution of this infection.

【 授权许可】

Unknown