Gonococcal endocarditis: A rare manifestation of a common disease in the COVID-19 era

Abstract

Gonococcal infections have been increasing worldwide and in the United States. Rarely, Neisseria gonorrhoeae can cause disseminated disease, including endocarditis. We present a case of gonococcal endocarditis, confirmed by blood cultures and 16S rRNA sequencing on excised valvular tissue. Prior to presentation with heart failure, our patient was asymptomatic. Most gonococcal infections are diagnosed through routine screening of individuals at risk. During the COVID-19 pandemic, healthcare contact for nonurgent complaints has decreased, and test kit shortage has been a factor. With increased incidence and decreased opportunities for screening, healthcare providers should be aware of rising gonococcal infections, as well as potential complications.

Gonococcal Infective Endocarditis Returns

“…We have included citations of some previously reported cases since 1938 to our report for future reference of this interesting topic [6,[8][9][10][11][12].…”

“…It is a highly important diagnosis, given the occasionally difficult lab identification, the high degree of suspicion needed for diagnosis, and the significant proportion of associated fatal complications. Our case represents a valuable addition to the literature, and a comparison is provided with other cases of the post-antibiotic era [5,[8][9][10][11][12][13].…”