Disseminated Gonococcal Infection Presenting as Isolated Septic Arthritis: A Case Report and Review of Literature

Disseminated Gonococcal Infection Presenting as Isolated Septic Arthritis: A Case Report and Review of Literature

is a gram-negative diplococcus that passes from one person to another through sexual contact. On rare occasions,  may spread from the primary mucosal site to distant parts of the body and present with signs of systemic illness; this is commonly known as disseminated gonococcal infection (DGI). We pr...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) Vol. 16; no. 8; p. e66071
Main Authors: Sousou, John M, Talati, Jay, Mikulas, Christopher J, Grogan, Ansley T, Farah, James E, Reddy, Pramod
Format: Journal Article
Language:English
Published: United States Cureus Inc 03-08-2024
Cureus
Subjects:
Arthritis
Asymptomatic
Bone surgery
Case reports
Dermatitis
Disease
Edema
Erythema
Females
Fingers & toes
Gonorrhea
Hospitals
Infections
Infectious Disease
Internal Medicine
Magnetic resonance imaging
Medicine
Orthopedics
Pain
Patients
Pregnancy
Sexual behavior
United States > US
gonococcal bacteremia
polyarthralgia
neisseria gonorrhoeae
disseminated gonorrhea
septic arthritis
gonorrhea
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Summary:is a gram-negative diplococcus that passes from one person to another through sexual contact. On rare occasions,  may spread from the primary mucosal site to distant parts of the body and present with signs of systemic illness; this is commonly known as disseminated gonococcal infection (DGI). We present a case report of an 18-year-old patient who was diagnosed with septic arthritis of the right third metacarpophalangeal (MCP) joint without mucosal involvement or systemic symptoms and who was found to have gonococcal bacteremia. This case highlights the importance of clinician awareness of the many extragenital manifestations of DGI and a high index of suspicion in the setting of septic arthritis and high-risk sexual practices. Diagnosing DGI early and providing prompt treatment may prevent complications of sepsis, joint destruction, and a prolonged hospital stay.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.66071