AI Article Synopsis

  • A case of gonococcemia leading to adult respiratory distress syndrome (ARDS) was reported, marking only the third known instance of this condition linked to gonococcemia.
  • This case uniquely included confirmed blood culture results and wedge pressure measurements from a pulmonary artery catheter.
  • The patient required mechanical ventilation but fully recovered, indicating that while gonococcemia can lead to ARDS, such occurrences are still quite rare, and the reasons behind this remain unclear.

Article Abstract

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. We also believe that this is the first reported patient who required mechanical ventilation under positive end-expiratory pressure. This patient made a full recovery. Gonococcemia associated with ARDS continues to occur rarely in patients despite the prevalence of disseminated gonococcal infection. The reason for the infrequent occurrence of ARDS with disseminated gonococcal infection remains uncertain.

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http://dx.doi.org/10.1093/clinids/13.6.1105DOI Listing

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