Burgis Judith T, Nawaz Hamayun
Department of Obstetrics and Gynecology, University of South Carolina School of Medicine, Columbia, SC 29203, USA.
Obstet Gynecol. 2006 Sep;108(3 Pt 2):798-801. doi: 10.1097/01.AOG.0000209186.84897.f1.
In 2003, the reported gonorrhea rate among women was 118.8 per 100,000 women. Most gonococcal infections in pregnant women are asymptomatic or produce a mildly symptomatic genital infection. Disseminated infections can occur when gonococcal bacteremia produces extragenital symptoms, most commonly arthritis.
A patient presented in the third trimester of pregnancy with fever, body aches, neck soreness, and skin lesions. There was no arthritis. Cultures performed during evaluation confirmed extragenital Neisseria gonorrhoeae.
A high index of suspicion is necessary to diagnose disseminated gonococcal infection and prevent disease sequelae.
2003年，报告的女性淋病发病率为每10万名女性中有118.8例。孕妇中的大多数淋球菌感染无症状或仅产生轻度症状的生殖器感染。当淋球菌血症产生生殖器外症状（最常见的是关节炎）时，可发生播散性感染。
一名患者在妊娠晚期出现发热、全身疼痛、颈部酸痛和皮肤病变。无关节炎症状。评估期间进行的培养证实为生殖器外淋病奈瑟菌感染。
对于诊断播散性淋球菌感染并预防疾病后遗症，必须保持高度的怀疑指数。
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