BACKGROUND: In 2003, the reported gonorrhea rate among women was 118.8 per 100,000 women. Most gonococcal infections in pregnant women are asymptomatic or produce a mildly symptomatic genital infection. Disseminated infections can occur when gonococcal bacteremia produces extragenital symptoms, most commonly arthritis. CASE: A patient presented in the third trimester of pregnancy with fever, body aches, neck soreness, and skin lesions. There was no arthritis. Cultures performed during evaluation confirmed extragenital Neisseria gonorrhoeae. CONCLUSION: A high index of suspicion is necessary to diagnose disseminated gonococcal infection and prevent disease sequelae.
%0 Journal Article
%1 burgis_disseminated_2006
%A Burgis, Judith T
%A Nawaz, Hamayun
%D 2006
%J Obstetrics and Gynecology
%K Adult, Bacteremia, Bacterial, Ceftriaxone, Complications, Dermatitis, Female, Fever, Gonorrhea, Humans, Infectious, Meningitis, Neisseria Outcome Pregnancy Pregnancy, gonorrhoeae,
%N 3 Pt 2
%P 798--801
%R 10.1097/01.AOG.0000209186.84897.f1
%T Disseminated gonococcal infection in pregnancy presenting as meningitis and dermatitis
%U http://www.ncbi.nlm.nih.gov/pubmed/17018507
%V 108
%X BACKGROUND: In 2003, the reported gonorrhea rate among women was 118.8 per 100,000 women. Most gonococcal infections in pregnant women are asymptomatic or produce a mildly symptomatic genital infection. Disseminated infections can occur when gonococcal bacteremia produces extragenital symptoms, most commonly arthritis. CASE: A patient presented in the third trimester of pregnancy with fever, body aches, neck soreness, and skin lesions. There was no arthritis. Cultures performed during evaluation confirmed extragenital Neisseria gonorrhoeae. CONCLUSION: A high index of suspicion is necessary to diagnose disseminated gonococcal infection and prevent disease sequelae.
@article{burgis_disseminated_2006,
abstract = {{BACKGROUND:} In 2003, the reported gonorrhea rate among women was 118.8 per 100,000 women. Most gonococcal infections in pregnant women are asymptomatic or produce a mildly symptomatic genital infection. Disseminated infections can occur when gonococcal bacteremia produces extragenital symptoms, most commonly arthritis. {CASE:} A patient presented in the third trimester of pregnancy with fever, body aches, neck soreness, and skin lesions. There was no arthritis. Cultures performed during evaluation confirmed extragenital Neisseria gonorrhoeae. {CONCLUSION:} A high index of suspicion is necessary to diagnose disseminated gonococcal infection and prevent disease sequelae.},
added-at = {2011-03-11T10:05:34.000+0100},
author = {Burgis, Judith T and Nawaz, Hamayun},
biburl = {https://www.bibsonomy.org/bibtex/280b1419f7061becb2ebb751615511347/jelias},
doi = {10.1097/01.AOG.0000209186.84897.f1},
interhash = {b65dc3019aeb366d023270e931a10979},
intrahash = {80b1419f7061becb2ebb751615511347},
issn = {0029-7844},
journal = {Obstetrics and Gynecology},
keywords = {Adult, Bacteremia, Bacterial, Ceftriaxone, Complications, Dermatitis, Female, Fever, Gonorrhea, Humans, Infectious, Meningitis, Neisseria Outcome Pregnancy Pregnancy, gonorrhoeae,},
month = sep,
note = {{PMID:} 17018507},
number = {3 Pt 2},
pages = {798--801},
timestamp = {2011-03-11T10:06:34.000+0100},
title = {Disseminated gonococcal infection in pregnancy presenting as meningitis and dermatitis},
url = {http://www.ncbi.nlm.nih.gov/pubmed/17018507},
volume = 108,
year = 2006
}