关键词: Adolescence Adolescencia Arthritis Artritis Disseminated gonococcal disease Enfermedad gonocócica diseminada Gonorrea Gonorrhea Tenosinovitis Tenosynovitis

Mesh : Adolescent Young Adult Humans Female Child Tenosynovitis / complications Anti-Bacterial Agents / therapeutic use Gonorrhea / complications diagnosis drug therapy Neisseria gonorrhoeae Arthritis, Infectious / diagnosis

来  源:   DOI:10.1016/j.reumae.2023.12.001

Abstract:
Hematogenous spread of Neisseria gonorrhoeae, a sexually transmitted pathogen, results in disseminated gonococcal disease (DGD), also known as arthritis-dermatitis syndrome, due to the development of skin lesions, tenosynovitis, and arthritis. The most frequently affected population is young adults. We describe the case of an adolescent female who acutely developed skin lesions, arthritis, tenosynovitis, and constitutional symptoms. The causal agent was identified by a culture of vaginal secretion and treated with ceftriaxone for 7 days with complete recovery. It is important to differentiate this clinical picture from other types of arthritis developed in adolescence.
摘要:
淋病奈瑟菌的血源性传播,一种性传播的病原体,播散性淋球菌病(DGD)的结果,也被称为关节炎-皮炎综合征,由于皮肤病变的发展,腱鞘炎,和关节炎。受影响最频繁的人群是年轻人。我们描述了一个青春期女性急性发展为皮肤损伤的案例,关节炎,腱鞘炎,和体质症状。通过培养阴道分泌物来鉴定病原体,并用头孢曲松治疗7天,完全恢复。重要的是将这种临床表现与青春期发展的其他类型的关节炎区分开来。
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