Belding M E, Carbone J
Department of Medicine, University of Washington School of Medicine, Seattle.
Rev Infect Dis. 1991 Nov-Dec;13(6):1105-7. doi: 10.1093/clinids/13.6.1105.
We report a case of gonococcemia that was associated with adult respiratory distress syndrome (ARDS). To our knowledge, this is only the third reported case of ARDS associated with gonococcemia. This is the first reported case of ARDS associated with gonococcemia that was documented by positive results of blood cultures and measurements of wedge pressure obtained by a catheter in the pulmonary artery. We also believe that this is the first reported patient who required mechanical ventilation under positive end-expiratory pressure. This patient made a full recovery. Gonococcemia associated with ARDS continues to occur rarely in patients despite the prevalence of disseminated gonococcal infection. The reason for the infrequent occurrence of ARDS with disseminated gonococcal infection remains uncertain.
我们报告一例淋菌血症合并成人呼吸窘迫综合征（ARDS）的病例。据我们所知，这是第三例报告的与淋菌血症相关的ARDS病例。这是首例通过血培养阳性结果及肺动脉导管测得的楔压记录证实的与淋菌血症相关的ARDS病例。我们还认为，这是首例报告的需要在呼气末正压通气下进行机械通气的患者。该患者已完全康复。尽管播散性淋球菌感染很常见，但与ARDS相关的淋菌血症在患者中仍很少发生。播散性淋球菌感染合并ARDS发生率低的原因尚不确定。
