Disseminated Neisseria Gonorrhoeae of the Wrist
Disseminated Neisseria Gonorrhoeae of the Wrist
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DOI：
10.1016/j.idcr.2020.e00763
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发表时间：
2020-01-01
期刊：
影响因子：
1.5
通讯作者：
Liu, Edward
中科院分区：
文献类型：
--
作者：
Douedi, Steven;Dattadeen, Jaraad;Liu, Edward
约0.5-3%的淋病奈瑟菌患者可见播散性淋球菌感染（DGI）。DGI患者表现为粘膜受累、脓毒性关节炎，有时还伴有菌血症。我们提出一个病例62岁的女性艾滋病毒和类风湿关节炎的历史承认与DGI和化脓性关节炎的手腕没有粘膜受累或全身性症状。患者行右腕关节切开术切开引流，静脉注射头孢曲松2周。手术和开始抗生素治疗后，她的症状明显改善，随访时仍无症状。(c) 2020作者。Elsevier Ltd.出版。这是一篇基于CC BY-NC-ND许可（http://creativecommons.org/licenses/by-nc-nd/4.0/）的开放获取文章。
Disseminated gonococcal infection (DGI) is seen in about 0.5-3% of patients with Neisseria gonorrhoeae. Patients with DGI present with mucosal involvement, septic arthritis and sometimes bacteremia. We present a case of a 62-year-old female with a history of HIV and rheumatoid arthritis admitted with DGI and septic arthritis of the wrist without mucosal involvement or systemic symptoms. The patient underwent incision and drainage with arthrotomy of the right wrist by hand surgery and received a 2-week course of intravenous ceftriaxone. After surgery and initiation of antibiotic treatment, there was marked improvement of her symptoms and she remains asymptomatic at follow-up. (c) 2020 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).