Acute Gonococcal Flexor Tenosynovitis in an Adolescent Male With Pharyngitis

Schaefer, Richard A.; Enzenauer, Raymond J.; Pruitt, Alexander; Corpe, R. Scott

doi:10.1097/00003086-199208000-00036

Cited by 17 publications

(7 citation statements)

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“…En effet, 1 à 3 % des infections muqueuses à gonocoque développent des infections disséminées multiviscérales. L'histoire de la maladie d'une infection disséminée à gonocoque (IDG) débute par une infection d'une muqueuse, le plus souvent asymptomatique [2,3,6]. Classiquement, les infections disséminées à gonocoque associent la triade clinique : arthrites, rash cutané et ténosynovites.…”

Section: Discussionunclassified

“…Des hypothèses ont été suggérées pour la physiopathologie des localisations tendineuses des infections disséminées à gonocoque. Un traumatisme plus ou moins récent de la gaine, sans plaie, [2,15] entraînerait une inflammation locale favorisant les greffes d'agents bactériens de la circulation. Dans tous les cas, des conseils de protection lors des rapports sexuels doivent être donnés au patient, et être appliqués pendant toute la durée de l'antibiothérapie.…”

Section: Discussionunclassified

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Ténosynovite isolée à gonocoque, à propos d’un cas et revue de la littérature

Mamane

Falcone

Doursounian

et al. 2010

Chirurgie de la Main

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Section: Discussionunclassified

Ténosynovite isolée à gonocoque, à propos d’un cas et revue de la littérature

Mamane

Falcone

Doursounian

et al. 2010

Chirurgie de la Main

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“…The presence of gonococci in the pharynx correlates poorly with symptoms of sore throat [56,59], and cases of symptomatic pharyngitis may be caused by other sexually transmitted agents, particularly in those cases of preceding orogenital contact [28]. However, rare cases of symptomatic gonococcal pharyngitis have been described [61] ( Table 1). Interestingly, in the UK in 2016, the first global failure of treating pharyngeal gonorrhea was reported, caused by an eXtensively Drug Resistant (XDR) gonococcus with resistance to both ceftriaxone and azithromycin [206].…”

Section: Gonococcal Oral and Nasopharyngeal Infectionsmentioning

confidence: 99%

Atypical, Yet Not Infrequent, Infections with Neisseria Species

Humbert

Christodoulides

2019

Pathogens

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Neisseria species are extremely well-adapted to their mammalian hosts and they display unique phenotypes that account for their ability to thrive within niche-specific conditions. The closely related species N. gonorrhoeae and N. meningitidis are the only two species of the genus recognized as strict human pathogens, causing the sexually transmitted disease gonorrhea and meningitis and sepsis, respectively. Gonococci colonize the mucosal epithelium of the male urethra and female endo/ectocervix, whereas meningococci colonize the mucosal epithelium of the human nasopharynx. The pathophysiological host responses to gonococcal and meningococcal infection are distinct. However, medical evidence dating back to the early 1900s demonstrates that these two species can cross-colonize anatomical niches, with patients often presenting with clinically-indistinguishable infections. The remaining Neisseria species are not commonly associated with disease and are considered as commensals within the normal microbiota of the human and animal nasopharynx. Nonetheless, clinical case reports suggest that they can behave as opportunistic pathogens. In this review, we describe the diversity of the genus Neisseria in the clinical context and raise the attention of microbiologists and clinicians for more cautious approaches in the diagnosis and treatment of the many pathologies these species may cause.

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“…1 ). Multiple series have shown Staphylococcus aureus as the most common pathogen in pyogenic flexor tenosynovitis cultures, although polymicrobial infections, methicillin-resistant S aureus (MRSA), Staphylococcus epidermidis, Pseudomonas aeruginosa, and Streptococcus species also are commonly encountered pathogens [ 1 , 4 , 5 , 20 ], and rare organisms have been isolated from pyogenic flexor tenosynovitis cultures, including Eikenella corrodens, Pasteurella multocida, Kingella kingae, Listeria monocytogenes, Neisseria gonorrhoeae, Clostridium difficile, and Mycobacterium species [ 2 , 9 , 15 , 19 , 22 , 23 ]. Initial treatment of pyogenic flexor tenosynovitis includes timely administration of intravenous antibiotics and surgical irrigation and drainage.…”

Section: Descriptionmentioning

confidence: 99%