title: Disseminated gonococcal infection in pregnancy presenting as meningitis and dermatitis.
abstract: BACKGROUND
  In 2003, the reported gonorrhea rate among women was 118.8 per 100,000 women. Most gonococcal infections in pregnant women are asymptomatic or produce a mildly symptomatic genital infection. Disseminated infections can occur when gonococcal bacteremia produces extragenital symptoms, most commonly arthritis.
  
  
  METHODS
  A patient presented in the third trimester of pregnancy with fever, body aches, neck soreness, and skin lesions. There was no arthritis. Cultures performed during evaluation confirmed extragenital Neisseria gonorrhoeae.
  
  
  CONCLUSIONS
  A high index of suspicion is necessary to diagnose disseminated gonococcal infection and prevent disease sequelae.
authors.affiliation: Department of Obstetrics and Gynecology, University of South Carolina School of Medicine, Columbia, SC 29203, USA. jburgis@gw.mp.sc.edu
authors.forename: Judith T
authors.initials: JT
authors.lastname: Burgis
authors.forename: Hamayun
authors.initials: H
authors.lastname: Nawaz
mesh_terms: D000328:Adult; D016470:Bacteremia / Q000150:complications*; D002443:Ceftriaxone / Q000008:administration & dosage; D003872:Dermatitis / Q000382:microbiology; D005260:Female; D005334:Fever; D006069:Gonorrhea / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D016920:Meningitis, Bacterial / Q000382:microbiology; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000382:microbiology; D011256:Pregnancy Outcome
chemical_list: D002443:Ceftriaxone