Gonococcal osteomyelitis of the shoulder extended from gonococcal arthritis: diagnosis by a polymerase chain reaction assay

Shibata, Yozo; Kumano, Takafumi; Shinoda, T.; Hanada, Hirofumi; Notomi, Takashi; Nagayama, Ariaki; Naito, Masatoshi

doi:10.1016/j.jse.2004.01.009

Cited by 11 publications

(11 citation statements)

References 23 publications

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“…N. gonorrhoeae is a known cause of septic arthritis, primarily in young adults, but gonococcal osteomyelitis is rare (1). The risk of gonococcal osteomyelitis is said to increase if there is a delay between the onset of joint infection and initiation of appropriate therapy, as was the case in our patients (11).…”

Section: Discussionmentioning

confidence: 64%

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Gonococcal Osteomyelitis Resulting in Permanent Sequelae

Rehnström¹,

Unemo²

2016

Acta Derm Venerol

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Section: Discussionmentioning

confidence: 64%

“…It mostly manifests in the genitourinary tract, rectum and pharynx. Gonococcal arthritis and, especially, osteomyelitis occur infrequently and probably arise from blood dissemination of Neisseria gonorrhoeae (1). Disseminated gonococcal infection (DGI) has been reported to develop in 0.5-3% of infected patients.…”

Section: Short Communicationmentioning

confidence: 99%

Gonococcal Osteomyelitis Resulting in Permanent Sequelae

Rehnström¹,

Unemo²

2016

Acta Derm Venerol

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“…Also, osteomyelitis has been reported to occur weeks and months after the initial onset of arthralgia/ arthritis with risk for osteomyelitis increasing if there is a delay between onset of joint infection and initiation of therapy. 6,14 We report the first case of septic arthritis of hip joint with spread to the femur head resulting in acute osteomyelitis. In our patient, the presentation was over 2 weeks, which suggests a faster spread of the infection to the femur head.…”

Section: Discussionmentioning

confidence: 99%

“…Two cases of concurrent gonococcal arthritis and osteomyelitis of the shoulder joint has been reported by Angevine et al in 1976 5 and Shibata et al in 2004. 6 There have been reports of possible osteomyelitis with gonococcal arthritis involving other joints including fingers, wrist, and foot. 4,7-14 However, these cases report a chronic presentation with osteomyelitis occurring weeks after onset of arthritis.…”

Section: Introductionmentioning

confidence: 99%

Acute Gonococcal Osteomyelitis and Arthritis of Hip: An Interesting Case and Review of Literature

Agarwal

Abughali

Chotikanatis

2020

Journal of Pediatric Infectious Diseases

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Gonorrhea is the most common sexually transmitted disease globally, affecting both men and women equally. It has a myriad of presentations which can vary from local disease to disseminated gonococcal infection. We are reporting the first case of gonococcal arthritis leading to acute osteomyelitis of the femoral head in a young adult with Charcot-Marie-Tooth disease that occurred over a period of 2 weeks. Gonorrhea can affect joints and cause arthritis, and there have been case reports of untreated gonococcal arthritis leading to osteomyelitis after months. Here we report the first case of acute gonococcal spread to the bones causing osteomyelitis in a young adult. A high index of suspicion is needed to recognize this condition which if left unnoticed, can lead to erosive bone damage, and severe consequences.

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“…33 Although gonococcus has been associated with a wide array of clinical syndromes, 25 the majority of patients with DGI present with one of two syndromes: a triad of dermatitis, tenosynovitis, and polyarthralgias without septic arthritis, or purulent arthritis without dermatological disease. 19,21,24 Other rare complications include endocarditis, meningitis, and osteomyelitis. 20,21,27,28 Affected joints commonly reported in the literature involve the extremities, commonly the knees, wrist, ankles, and elbows in decreasing order of frequency.…”

Section: Discussionmentioning

confidence: 99%

Neisseria gonorrhoeae paravertebral abscess

Low

C²,

Hsueh

et al. 2012

SPI

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The authors present the case of an isolated gonococcal paravertebral abscess with an epidural component in a 42-year-old man. A primary epidural abscess of the spine is a rare condition and is most commonly caused byStaphylococcus aureus. In this report, the authors present their therapeutic decisions and review the relevant literature on disseminated gonococcal infection in a patient presenting with an epidural abscess.A 42-year-old Indonesian man was admitted with symptoms of neck and upper back pain and bilateral lower-limb weakness. Clinical examination was unremarkable apart from tenderness over the lower cervical spine. Postgadolinium T1-weighted MRI of the cervical and thoracic spine demonstrated an enhancing lesion in the right paraspinal and epidural soft tissue at C-6 to T1–2, in keeping with a spinal epidural abscess. The patient underwent laminectomy of C-7 and T-1 with abscess drainage. Tissue cultures subsequently grewNeisseria gonorrhoeaethat was resistant to quinolones by genotyping. Upon further questioning, the patient admitted to unprotected sexual intercourse with commercial sex workers. Further investigations showed that he was negative for other sexually transmitted infections. Postoperatively, he received a course of beta-lactam antibiotics with good recovery. Clinicians should be aware of this unusual disseminated gonococcal infection manifested in any patient with the relevant risk factors.

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Gonococcal osteomyelitis of the shoulder extended from gonococcal arthritis: diagnosis by a polymerase chain reaction assay

Cited by 11 publications

References 23 publications

Gonococcal Osteomyelitis Resulting in Permanent Sequelae

Gonococcal Osteomyelitis Resulting in Permanent Sequelae

Acute Gonococcal Osteomyelitis and Arthritis of Hip: An Interesting Case and Review of Literature

Neisseria gonorrhoeae paravertebral abscess

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