Gharamti Amal A, Pinto Natalia C, Henao-SanMartin Valentina, Franco-Paredes Carlos, Henao-Martínez Andrés F
1 Department of Internal Medicine, Division of Infectious Diseases, American University of Beirut Medical Center, Beirut, Lebanon.
2 School of Medicine, Universidad Libre, Cali, Colombia.
Int J STD AIDS. 2019 May;30(6):610-612. doi: 10.1177/0956462418816496. Epub 2019 Feb 4.
Gonorrhea is one of the most common sexually transmitted infections (STIs). In a minority of cases, a disseminated infection can occur including gonococcal osteoarticular disease. With the steep and sustained increase in STIs in the US, we could see invasive gonococcal disease more often. Most cases of gonococcal osteomyelitis receive prolonged courses of antibiotic therapy. We report here the successful treatment of gonococcal osteomyelitis with one week of antibiotic therapy. Given the emergence of bacterial resistance worldwide and associated side effects, it is crucial to limit antibiotic exposures to the smallest effective dose possible.
淋病是最常见的性传播感染之一。在少数情况下,可能会发生播散性感染,包括淋菌性骨关节病。随着美国性传播感染病例的急剧持续增加,我们可能会更频繁地看到侵袭性淋菌性疾病。大多数淋菌性骨髓炎病例都接受了长时间的抗生素治疗。我们在此报告了用一周抗生素治疗成功治愈淋菌性骨髓炎的病例。鉴于全球范围内细菌耐药性的出现以及相关副作用,将抗生素暴露限制在尽可能小的有效剂量至关重要。