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Gonococcal osteomyelitis in a pediatric patient with disseminated gonococcal infection: Implications for antimicrobial management.
IDCases. 2020; 21:e00875.I

Abstract

We report a case of a female teenager with gonococcal septic arthritis of the right shoulder that also caused osteomyelitis of the humeral head. Infection with Neisseria gonorrhoeae is a frequently diagnosed sexually transmitted infection in the sexually active teenage population and disseminated gonococcal infection (DGI) is the most common systemic manifestation of acute gonorrhea. DGI commonly involves acute arthritis, tenosynovitis and dermatitis with less common complications of endocarditis, hepatitis and meningitis. In contrast, osteomyelitis has only rarely been reported as a result of gonococcal infection. Clinicians need to be aware of this unusual manifestation of DGI as a prolonged duration of antimicrobial treatment may be needed to assure complete resolution of this infection.

Authors+Show Affiliations

Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, New York, 11549, United States.Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, New York, 11549, United States.Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, New York, 11549, United States. Steven and Alexandra Cohen Children's Medical Center, Northwell Health, Division of Pediatric Infectious Diseases, 269-01 76thAve, Queens, New York, 11040, United States.Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, New York, 11549, United States. Steven and Alexandra Cohen Children's Medical Center, Northwell Health, Division of Pediatric Infectious Diseases, 269-01 76thAve, Queens, New York, 11040, United States.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32637320

Citation

Liakos, William, et al. "Gonococcal Osteomyelitis in a Pediatric Patient With Disseminated Gonococcal Infection: Implications for Antimicrobial Management." IDCases, vol. 21, 2020, pp. e00875.
Liakos W, Schaffler B, Rajan S, et al. Gonococcal osteomyelitis in a pediatric patient with disseminated gonococcal infection: Implications for antimicrobial management. IDCases. 2020;21:e00875.
Liakos, W., Schaffler, B., Rajan, S., & Hagmann, S. H. F. (2020). Gonococcal osteomyelitis in a pediatric patient with disseminated gonococcal infection: Implications for antimicrobial management. IDCases, 21, e00875. https://doi.org/10.1016/j.idcr.2020.e00875
Liakos W, et al. Gonococcal Osteomyelitis in a Pediatric Patient With Disseminated Gonococcal Infection: Implications for Antimicrobial Management. IDCases. 2020;21:e00875. PubMed PMID: 32637320.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gonococcal osteomyelitis in a pediatric patient with disseminated gonococcal infection: Implications for antimicrobial management. AU - Liakos,William, AU - Schaffler,Benjamin, AU - Rajan,Sujatha, AU - Hagmann,Stefan H F, Y1 - 2020/06/18/ PY - 2020/06/11/received PY - 2020/06/16/revised PY - 2020/06/16/accepted PY - 2020/7/9/entrez PY - 2020/7/9/pubmed PY - 2020/7/9/medline KW - Antibiotic resistance KW - Disseminated gonococcal infection KW - Gonococcal osteomyelitis KW - Gonococcal septic arthritis KW - Neisseria gonorrhoeae SP - e00875 EP - e00875 JF - IDCases JO - IDCases VL - 21 N2 - We report a case of a female teenager with gonococcal septic arthritis of the right shoulder that also caused osteomyelitis of the humeral head. Infection with Neisseria gonorrhoeae is a frequently diagnosed sexually transmitted infection in the sexually active teenage population and disseminated gonococcal infection (DGI) is the most common systemic manifestation of acute gonorrhea. DGI commonly involves acute arthritis, tenosynovitis and dermatitis with less common complications of endocarditis, hepatitis and meningitis. In contrast, osteomyelitis has only rarely been reported as a result of gonococcal infection. Clinicians need to be aware of this unusual manifestation of DGI as a prolonged duration of antimicrobial treatment may be needed to assure complete resolution of this infection. SN - 2214-2509 UR - https://www.unboundmedicine.com/medline/citation/32637320/Gonococcal_osteomyelitis_in_a_pediatric_patient_with_disseminated_gonococcal_infection:_Implications_for_antimicrobial_management L2 - https://linkinghub.elsevier.com/retrieve/pii/S2214-2509(20)30183-9 DB - PRIME DP - Unbound Medicine ER -
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