Tags

Type your tag names separated by a space and hit enter

Disseminated gonococcal infection during pregnancy.
Arch Gynecol Obstet. 2005 Dec; 273(3):185-6.AG

Abstract

BACKGROUND

Disseminated gonococcal infection in pregnancy is rare with the incidence of 0.04-0.09% in pregnant women. Its most common manifestation is arthritis.

CASE

A 38-year-old woman, G1P0, 36+ weeks pregnancy came to hospital with decreased fetal movement. She had purulent vaginal discharge and history of self treatment 1 month earlier. She had a fever with arthritis for 3 days. Purulent joint fluid from arthrocentesis of her right wrist demonstrated intracellular Gram negative diplococcal bacteria. The diagnosis was disseminated gonococcal infection. She was successfully treated with parenteral ceftriaxone followed by oral cefixime. Cesarean section was performed due to preterm premature rupture of the membranes. The maternal and neonatal outcomes were uneventful.

CONCLUSION

Disseminated gonococcal infections are not rare, however, disseminated gonococcal infection in pregnancy is a rare condition. Clinicians should be suspicious of the disease when a pregnant patient presents with arthritic symptoms.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok, 10330, Thailand. vorapong.p@chula.ac.thNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16136359

Citation

Phupong, Vorapong, et al. "Disseminated Gonococcal Infection During Pregnancy." Archives of Gynecology and Obstetrics, vol. 273, no. 3, 2005, pp. 185-6.
Phupong V, Sittisomwong T, Wisawasukmongchol W. Disseminated gonococcal infection during pregnancy. Arch Gynecol Obstet. 2005;273(3):185-6.
Phupong, V., Sittisomwong, T., & Wisawasukmongchol, W. (2005). Disseminated gonococcal infection during pregnancy. Archives of Gynecology and Obstetrics, 273(3), 185-6.
Phupong V, Sittisomwong T, Wisawasukmongchol W. Disseminated Gonococcal Infection During Pregnancy. Arch Gynecol Obstet. 2005;273(3):185-6. PubMed PMID: 16136359.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Disseminated gonococcal infection during pregnancy. AU - Phupong,Vorapong, AU - Sittisomwong,Tul, AU - Wisawasukmongchol,Wirach, Y1 - 2005/09/01/ PY - 2004/12/13/received PY - 2005/02/01/accepted PY - 2005/9/2/pubmed PY - 2006/8/30/medline PY - 2005/9/2/entrez SP - 185 EP - 6 JF - Archives of gynecology and obstetrics JO - Arch. Gynecol. Obstet. VL - 273 IS - 3 N2 - BACKGROUND: Disseminated gonococcal infection in pregnancy is rare with the incidence of 0.04-0.09% in pregnant women. Its most common manifestation is arthritis. CASE: A 38-year-old woman, G1P0, 36+ weeks pregnancy came to hospital with decreased fetal movement. She had purulent vaginal discharge and history of self treatment 1 month earlier. She had a fever with arthritis for 3 days. Purulent joint fluid from arthrocentesis of her right wrist demonstrated intracellular Gram negative diplococcal bacteria. The diagnosis was disseminated gonococcal infection. She was successfully treated with parenteral ceftriaxone followed by oral cefixime. Cesarean section was performed due to preterm premature rupture of the membranes. The maternal and neonatal outcomes were uneventful. CONCLUSION: Disseminated gonococcal infections are not rare, however, disseminated gonococcal infection in pregnancy is a rare condition. Clinicians should be suspicious of the disease when a pregnant patient presents with arthritic symptoms. SN - 0932-0067 UR - https://www.unboundmedicine.com/medline/citation/16136359/Disseminated_gonococcal_infection_during_pregnancy_ L2 - https://dx.doi.org/10.1007/s00404-005-0057-3 DB - PRIME DP - Unbound Medicine ER -