Document Detail

Disseminated gonococcal infection during pregnancy.
MedLine Citation:
PMID:  16136359     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Disseminated gonococcal infection in pregnancy is rare with the incidence of 0.04-0.09% in pregnant women. Its most common manifestation is arthritis. CASE: A 38-year-old woman, G1P0, 36+ weeks pregnancy came to hospital with decreased fetal movement. She had purulent vaginal discharge and history of self treatment 1 month earlier. She had a fever with arthritis for 3 days. Purulent joint fluid from arthrocentesis of her right wrist demonstrated intracellular Gram negative diplococcal bacteria. The diagnosis was disseminated gonococcal infection. She was successfully treated with parenteral ceftriaxone followed by oral cefixime. Cesarean section was performed due to preterm premature rupture of the membranes. The maternal and neonatal outcomes were uneventful. CONCLUSION: Disseminated gonococcal infections are not rare, however, disseminated gonococcal infection in pregnancy is a rare condition. Clinicians should be suspicious of the disease when a pregnant patient presents with arthritic symptoms.
Vorapong Phupong; Tul Sittisomwong; Wirach Wisawasukmongchol
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-09-01
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  273     ISSN:  0932-0067     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-05     Completed Date:  2006-08-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  185-6     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.
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MeSH Terms
Cesarean Section
Diagnosis, Differential
Fetal Membranes, Premature Rupture
Gonorrhea / diagnosis*,  pathology
Infant, Newborn
Neisseria gonorrhoeae
Pregnancy Complications, Infectious / diagnosis*,  pathology
Pregnancy Trimester, Third
Prenatal Diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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