title: Disseminated gonococcal infection in Japan: a case report and literature review.
abstract: Disseminated gonococcal infection (DGI) is quite a rare condition, especially in the Japanese population; only 10 cases have been reported in case notes and minutes. We describe a man in which Neisseria gonorrhoeae was suspected to have infected the patient through his pharynx. He developed chills, fever, tonsillitis, papules, tenosynovitis and migratory polyarthralgia without genitourinary symptoms. After conducting a literature review, we suggest that being male is a possible risk factor and that blood culture can be used for diagnosing DGI in Japan. DGI should be considered as a diagnosis for patients with fever, dermatitis and joint pain in Japan.
authors.affiliation: Division of General Medicine, Department of Internal Medicine, Nihon University School of Medicine, Japan. suzaki.ai@nihon-u.ac.jp
authors.forename: Ai
authors.initials: A
authors.lastname: Suzaki
authors.forename: Kentaro
authors.initials: K
authors.lastname: Hayashi
authors.forename: Kotoko
authors.initials: K
authors.lastname: Kosuge
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Soma
authors.forename: Satoshi
authors.initials: S
authors.lastname: Hayakawa
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D003872:Dermatitis / Q000382:microbiology; D006069:Gonorrhea / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007564:Japan; D008297:Male; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*; D010614:Pharynx / Q000382:microbiology*; D013717:Tenosynovitis / Q000382:microbiology; D014069:Tonsillitis / Q000382:microbiology; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone