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Disseminated Gonococcal Infections

From the Department of Obstetrics and Gynecology, Truman Medical Center, The University of Missouri at Kansas City School of Medicine, Kansas City, Missouri

Abstract

A four-year retrospective review of 55 patients with disseminated infections from Neisserin gonorrhoene revealed that this complication occurs in young adults, with a predominance in women (80%). The most common manifestation of disseminated gonococcal infection was arthritis, which occurred in 47 patients (85.5%). The second most common manifestation of disseminated gonococcal infection was dermatitis, which occurred in 33 patients (60%). A thorough history, a careful physical examination, and a high index of suspicion are essential for the diagnosis. Disseminated gonococcal infection can be confirmed by isolation of gonococci from potential sites, including urethra, cervix, rectum, oropharynx, and blood. Early diagnosis and adequate therapy are necessary to prevent serious complications. The role of the gynecologist in preventing, diagnosing, and/or treating this disorder is emphasized.

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