AI Article Synopsis
- Disseminated gonococcal infection is rare, affecting less than 5% of those with Neisseria gonorrhoeae, and often presents with symptoms like arthritis, tenosynovitis, or skin issues.
- The article discusses two case studies: a 23-year-old with erythema nodosum and chronic pain, and a 32-year-old with arthritis and tenosynovitis.
- Both patients were treated with ceftriaxone and could transition to oral antibiotics as their condition improved and based on the strain's susceptibility.
Article Abstract
Disseminated gonococcal infection occurs in less than 5% of patients infected with Neisseria gonorrhoeae. The majority of these patients present with arthritis, tenosynovitis, polyarthralgia or dermatitis. In this article we present two patients with disseminated gonococcal infection, each with different symptoms. The first patient, a 23-year-old woman, was suffering from erythema nodosum, chronic polyarthralgia and weight loss. The second patient, a 32-year-old woman, was suffering from arthritis and tenosynovitis. Both patients were admitted for parenteral treatment with ceftriaxone. Disseminated gonococcal infection can be treated with a short course of broad spectrum parenteral antibiotics. Therapy can be switched to oral therapy in accordance with the susceptibility pattern of the N. gonorrhoea strain and when an improvement in the patient is noted.
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