Lohani Saroj, Nazir Salik, Tachamo Niranjan, Patel Nitin
Department of Medicine, Reading Hospital and Medical Centre, West Reading, PA, USA;
Department of Medicine, Reading Hospital and Medical Centre, West Reading, PA, USA.
J Community Hosp Intern Med Perspect. 2016 Jul 6;6(3):31841. doi: 10.3402/jchimp.v6.31841. eCollection 2016.
Gonococcus typically affects the mucosal surfaces but in rare cases can spread to bloodstream causing disseminated gonococcal infection (DGI). The usual presentation of DGI is rash, polyarthralgia, and tenosynovitis. We present the case of a 23-year-old female who presented to our hospital with pustular rash and tenosynovitis of hand and was sent home on Augmentin. Her symptoms worsened despite treatment and she presented back to the ED. On investigation, she was found to have DGI and was appropriately treated. DGI should be kept in mind in sexually active youngsters who have only one or two features of the classic triad of rash, tenosynovitis, and arthritis. Timely management and appropriate treatment of DGI is very important to avoid complications and morbidity.
淋球菌通常感染黏膜表面，但在罕见情况下可扩散至血液，导致播散性淋球菌感染（DGI）。DGI的常见表现为皮疹、多关节痛和腱鞘炎。我们报告一例23岁女性病例，该患者因手部脓疱性皮疹和腱鞘炎前来我院就诊，服用阿莫西林后回家。尽管接受了治疗，她的症状仍加重，随后返回急诊科。经检查，发现她患有DGI并得到了适当治疗。对于仅有皮疹、腱鞘炎和关节炎这一经典三联征中的一两个特征的性活跃青少年，应考虑到DGI。及时管理和适当治疗DGI对于避免并发症和发病非常重要。
