Section of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, National University Health System, 1E Kent Ridge Road, Singapore.
Singapore Med J. 2012 Feb;53(2):e38-9.
Gonococcal infection is a common sexually-transmitted infection in the older male population in our local setting. It is caused by Neisseria gonorrhoeae, and results in fever, dysuria and a foul-smelling discharge from the external urethral meatus. Occasionally, it may also present with disseminated gonococcal infection - dermatitis, septic arthritis and even meningitis or endocarditis. We present two unusual cases, where the primary presentation was that of multiple subcutaneous hand and wrist abscesses. This illustrates the need for competent history-taking, especially in culture-negative patients. We also recommend the use of gonococcal polymerase chain reaction tests in patients who demonstrate negative routine cultures, or in lieu of gonococcal culture when the diagnosis is equivocal or urgently required.
淋病感染是本地老年男性群体中常见的性传播感染。它由淋病奈瑟菌引起，症状包括发热、尿痛和外尿道口有恶臭分泌物。偶尔，它也可能表现为播散性淋病感染——皮炎、脓毒性关节炎，甚至脑膜炎或心内膜炎。我们报告两例不常见的病例，其主要表现为多个手部和腕部皮下脓肿。这说明需要进行有能力的病史采集，尤其是对于培养阴性的患者。我们还建议对培养阴性的患者或当诊断不明确或急需诊断时，使用淋球菌聚合酶链反应检测。
