Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection
Joint Authors
Bunker, Daniel
Kerr, Leslie Dubin
Source
Case Reports in Infectious Diseases
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-12
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Disseminated gonococcal infection (DGI) is a rare complication of primary infection with Neisseria gonorrhoeae.
Cardiac involvement in this condition is rare, and is usually limited to endocarditis.
However, there are a number of older reports suggestive of direct myocardial involvement.
We report a case of a 38-year-old male with HIV who presented with chest pain, pharyngitis, tenosynovitis, and purpuric skin lesions.
Transthoracic echocardiogram showed acute biventricular dysfunction.
Skin biopsy showed diplococci consistent with disseminated gonococcal infection, and treatment with ceftriaxone improved his symptoms and ejection fraction.
Though gonococcal infection was never proven with culture or nucleic acid amplification testing, the clinical picture and histologic findings were highly suggestive of DGI.
Clinicians should consider disseminated gonococcal infection when a patient presents with acute myocarditis, especially if there are concurrent skin and joint lesions.
American Psychological Association (APA)
Bunker, Daniel& Kerr, Leslie Dubin. 2015. Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection. Case Reports in Infectious Diseases،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058711
Modern Language Association (MLA)
Bunker, Daniel& Kerr, Leslie Dubin. Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection. Case Reports in Infectious Diseases No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058711
American Medical Association (AMA)
Bunker, Daniel& Kerr, Leslie Dubin. Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection. Case Reports in Infectious Diseases. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058711
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058711