Anan T J, Culik D A
Department of Family Practice, Saint John Hospital, Detroit, Michigan.
J Am Board Fam Pract. 1989 Apr-Jun;2(2):123-5.
Disseminated infection is a serious complication in approximately 2 percent of primary gonococcal infections. Meningeal infection is very rare; only 23 cases have been reported since 1922. We report a sexually active teenager with an acute febrile illness. From her cerebrospinal fluid cultures, Neisseria gonorrhoeae was identified. She recovered completely after treatment with ceftriaxone and penicillin. Possible explanations for gonococcal dissemination include unique strains of the organism as well as particular complement deficiencies of the host. Aggressive efforts by physicians to prevent, identify, and treat primary gonococcal diseases should continue because this will reduce the frequency of serious complications.
播散性感染是约2%的原发性淋球菌感染中的一种严重并发症。脑膜感染非常罕见；自1922年以来仅报告了23例。我们报告了一名有性活动的青少年，患有急性发热性疾病。从她的脑脊液培养物中鉴定出淋病奈瑟菌。她在接受头孢曲松和青霉素治疗后完全康复。淋球菌播散的可能解释包括该生物体的独特菌株以及宿主特定的补体缺陷。医生应继续积极努力预防、识别和治疗原发性淋球菌疾病，因为这将减少严重并发症的发生频率。
