2021
DOI: 10.1007/s11606-021-06923-1
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Arthritis-Dermatitis Syndrome: a Case of Disseminated Gonococcal Infection with Petechial Skin Rash

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Cited by 7 publications
(5 citation statements)
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“…Disseminated gonococcal infection is a medical emergency and its treatment should not be dependent on isolation of Neisseria gonorrhoeae, as laboratory tests may have low sensitivity. The case reinforces the importance of clinical diagnosis showing the triad, "tenosynovitis, polyarthralgia, and dermatitis" 1,2 . Early treatment prevents serious complications such as liver abscess, osteomyelitis, endocarditis, meningitis, and death 3 .…”
supporting
confidence: 66%
“…Disseminated gonococcal infection is a medical emergency and its treatment should not be dependent on isolation of Neisseria gonorrhoeae, as laboratory tests may have low sensitivity. The case reinforces the importance of clinical diagnosis showing the triad, "tenosynovitis, polyarthralgia, and dermatitis" 1,2 . Early treatment prevents serious complications such as liver abscess, osteomyelitis, endocarditis, meningitis, and death 3 .…”
supporting
confidence: 66%
“…Differential diagnoses for patients presenting with polyarthralgia accompanied by fever encompass septic arthritis, reactive arthritis, rheumatoid arthritis, crystalline arthritis, seronegative spondyloarthropathy, and arthritis-dermatitis syndrome. Conditions that may present with a petechial rash with multisystem involvement include sepsis, meningococcemia, SLE, drug rash, and thrombocytopenia (Bank et al, 2021).…”
Section: Discussionmentioning
confidence: 99%
“…Gonorrhea is a sexually transmitted infection caused by N. gonorrhoeae with resultant genital infections, and rarely, pharyngeal and anorectal infections (6). Bacteremia resulting in DGI is found to be more common during pregnancy, menstruation, and with the use of intra-uterine devices (IUDs) (7) and seen in about 0.5-3% of the cases (8). Other risk factors predisposing for dissemination include homosexual or bisexual men, infection with resistant strains, and complement deficiencies (9).…”
Section: Discussionmentioning
confidence: 99%