Disseminated gonococcal disease in pediatrics: Case report and review of the literature

Ana K. Leos-Leija, Rocío C. Calderón-Zamora, Ana V. Villarreal-Treviño, Fernando García-Rodríguez, Manuel E. de La O-Cavazos, Nadina E. Rubio-Pérez
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Abstract

Hematogenous spread of Neisseria gonorrhoeae, a sexually transmitted pathogen, results in disseminated gonococcal disease (DGD), also known as arthritis-dermatitis syndrome, due to the development of skin lesions, tenosynovitis, and arthritis. The most frequently affected population is young adults. We describe the case of an adolescent female who acutely developed skin lesions, arthritis, tenosynovitis, and constitutional symptoms. The causal agent was identified by a culture of vaginal secretion and treated with ceftriaxone for 7 days with complete recovery. It is important to differentiate this clinical picture from other types of arthritis developed in adolescence.

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儿科播散性淋球菌疾病:病例报告和文献综述。
淋病奈瑟菌是一种性传播病原体,它的血源性传播会导致播散性淋球菌病(DGD),又称关节炎-皮炎综合征,其发病原因包括皮肤损伤、腱鞘炎和关节炎。最常发病的人群是青壮年。我们描述了一例青少年女性急性皮损、关节炎、腱鞘炎和全身症状的病例。通过阴道分泌物培养确定了病原体,并使用头孢曲松治疗 7 天后完全康复。重要的是要将这种临床表现与其他类型的青春期关节炎区分开来。
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