Al-Suleiman S A, Grimes E M, Jonas H S
Obstet Gynecol. 1983 Jan;61(1):48-51.
A four-year retrospective review of 55 patients with disseminated infections from Neisseria gonorrhoeae revealed that this complication occurs in young adults, with a predominance in women (80%). The most common manifestation of disseminated gonococcal infection was arthritis, which occurred in 47 patients (85.5%). The second most common manifestation of disseminated gonococcal infection was dermatitis, which occurred in 33 patients (60%). A thorough history, a careful physical examination, and a high index of suspicion are essential for the diagnosis. Disseminated gonococcal infection can be confirmed by isolation of gonococci from potential sites, including urethra, cervix, rectum, oropharynx, and blood. Early diagnosis and adequate therapy are necessary to prevent serious complications. The role of the gynecologist in preventing, diagnosing, and/or treating this disorder is emphasized.
一项对55例淋病奈瑟菌播散性感染患者的四年回顾性研究显示，这种并发症发生在年轻人中，女性占多数（80%）。播散性淋球菌感染最常见的表现是关节炎，47例患者（85.5%）出现此症状。播散性淋球菌感染第二常见的表现是皮炎，33例患者（60%）出现此症状。详细的病史、仔细的体格检查以及高度的怀疑指数对诊断至关重要。通过从潜在部位（包括尿道、宫颈、直肠、口咽和血液）分离出淋球菌可确诊播散性淋球菌感染。早期诊断和充分治疗对于预防严重并发症是必要的。强调了妇科医生在预防、诊断和/或治疗这种疾病中的作用。
