Disseminated Gonococcal Infection Caused by a Multidrug-Resistant Pathogen Presenting with Hemorrhagic Manifestation: A Case Report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL

Journal of Laboratory Physicians Pub Date : 2023-09-01 DOI:10.1055/s-0042-1758806

Yahaya Mohammed, Amina Gambo Umar, Muhammad Zainu Sabitu, Saratu Bello, Muktar Umar, Ahmed Kolawole Jimoh, Fatima Birnin Yauri Aliyu, Jibril Abubakar

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引用次数: 0

Abstract

The incidence of disseminated gonococcal infection (DGI) is rising in some parts of the world, but there is paucity of data on its true incidence from sub-Saharan Africa. DGI has varied manifestations in different population group. We report a case of a 30-year-old sexually active woman presenting with hemorrhagic symptoms 2 weeks after a surgery on account of diagnosis of uterine fibroid made at a peripheral hospital. A multidrug-resistant Neisseria gonorrhoeae was isolated from the wound on her surgical site and blood sample. She was managed with intravenous meropenem, pressure dressing, and blood products, with the patient making a full recovery after a week. This case is presented because it is a rare one. Moreover, there is the need to revive the awareness of clinicians on the existence of multidrug-resistant gonococcus in our environment. We herein report a case of DGI from Nigeria.

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以出血表现为多重耐药病原菌引起的播散性淋球菌感染1例报告。

在世界某些地区，播散性淋球菌感染(DGI)的发病率正在上升，但撒哈拉以南非洲缺乏关于其真实发病率的数据。DGI在不同人群中有不同的表现。我们报告一例30岁的性活跃妇女，在手术后2周出现出血症状，原因是在一家周边医院诊断子宫肌瘤。从她手术部位的伤口和血液样本中分离出一株耐多药淋病奈瑟菌。她接受静脉注射美罗培南、压力敷料和血液制品治疗，一周后患者完全康复。之所以提出这个病例，是因为它是一个罕见的病例。此外，有必要恢复临床医生对我们环境中存在多重耐药淋球菌的认识。我们在此报告一例来自尼日利亚的DGI。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of Laboratory Physicians MEDICINE, GENERAL & INTERNAL-

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审稿时长

31 weeks