| Acute urethritis and arthritis-dermatitis syndrome due to Neisseria meningitidis. | |
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MedLine Citation:
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PMID: 15549154 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute urethritis and arthritis-dermatitis syndrome after sexual contact are often assumed to be caused by Neisseria gonorrhoeae. We report a case of arthritis-dermatitis syndrome in a 32-year-old man who presented with generalized maculopapular and petechial skin lesions and polyarthritis. Acute urethritis developed 1 week after oro-genital sexual contact with a sex worker about 3 weeks before admission. No pathogen was found on smear of urethral discharge and skin lesions, but Gram-negative diplococci were noted in joint fluid, and blood culture yielded N. meningitidis. His condition improved gradually after repeated arthrocentesis and antibiotic therapy with ceftriaxone followed by ciprofloxacin. Oro-genital contact is a transmission route for N. meningitidis infection manifesting as acute urethritis and arthritis-dermatitis syndrome. |
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Authors:
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Hsin-Yun Sun; I-Chern Chang; Mei-Jyh Chen; Chien-Ching Hung; Shan-Chwen Chang |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the Formosan Medical Association = Taiwan yi zhi Volume: 103 ISSN: 0929-6646 ISO Abbreviation: J. Formos. Med. Assoc. Publication Date: 2004 Nov |
Date Detail:
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Created Date: 2004-11-19 Completed Date: 2005-02-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9214933 Medline TA: J Formos Med Assoc Country: China |
Other Details:
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Languages: eng Pagination: 858-9 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arthritis / microbiology* Dermatitis / microbiology* Humans Male Meningococcal Infections / diagnosis* Neisseria meningitidis / isolation & purification* Syndrome Urethritis / microbiology* |
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