Suzaki Ai, Hayashi Kentaro, Kosuge Kotoko, Soma Masayoshi, Hayakawa Satoshi
Division of General Medicine, Department of Internal Medicine, Nihon University School of Medicine, Japan.
Intern Med. 2011;50(18):2039-43. doi: 10.2169/internalmedicine.50.5586. Epub 2011 Sep 15.
Disseminated gonococcal infection (DGI) is quite a rare condition, especially in the Japanese population; only 10 cases have been reported in case notes and minutes. We describe a man in which Neisseria gonorrhoeae was suspected to have infected the patient through his pharynx. He developed chills, fever, tonsillitis, papules, tenosynovitis and migratory polyarthralgia without genitourinary symptoms. After conducting a literature review, we suggest that being male is a possible risk factor and that blood culture can be used for diagnosing DGI in Japan. DGI should be considered as a diagnosis for patients with fever, dermatitis and joint pain in Japan.
播散性淋球菌感染（DGI）是一种相当罕见的病症，尤其是在日本人群中；病例记录和纪要中仅报告过10例。我们描述了一名男子，疑似淋病奈瑟菌通过其咽部感染了该患者。他出现了寒战、发热、扁桃体炎、丘疹、腱鞘炎和游走性多关节痛，无泌尿生殖系统症状。在进行文献综述后，我们认为男性可能是一个风险因素，并且在日本血培养可用于诊断DGI。在日本，对于发热、皮炎和关节疼痛的患者应考虑诊断为DGI。
