Kerle K K, Mascola J R, Miller T A
Malcolm Grow U.S. Air Force Medical Center, Andrews Air Force Base, Maryland.
Am Fam Physician. 1992 Jan;45(1):209-14.
The most frequent systemic complication of acute, untreated gonorrhea is disseminated infection, which develops in 0.5 to 3 percent of the more than 700,000 Americans infected with Neisseria gonorrhoeae each year. The classic triad of features consists of dermatitis, tenosynovitis and migratory polyarthritis. Disseminated gonococcal infection is most common in young women but may develop in sexually active persons of any age. The diagnosis often is not suspected because the initial mucosal infection is frequently asymptomatic, providing no clue to an infectious etiology. Prompt identification and treatment are essential to prevent complications such as endocarditis, meningitis, perihepatitis and permanent joint damage.
急性未治疗淋病最常见的全身并发症是播散性感染，在每年感染淋病奈瑟菌的70多万美国人中，有0.5%至3%会发生这种情况。其典型的三联征包括皮炎、腱鞘炎和游走性多关节炎。播散性淋球菌感染在年轻女性中最为常见，但任何年龄段有性行为的人都可能发生。由于最初的黏膜感染通常没有症状，无法提示感染病因，所以往往不会怀疑有该诊断。及时识别和治疗对于预防诸如心内膜炎、脑膜炎、肝周围炎和永久性关节损伤等并发症至关重要。
