title: A Rare Case of Disseminated Pyogenic Gonococcal Infection in an Immunocompetent Woman.
abstract: We present a case of previously healthy, immunocompetent, 41-year-old woman who developed systemic inflammatory response syndrome secondary toNeisseria gonorrhoeaebacteremia. Clinical course was complicated by the simultaneous formation of multiple muscular abscesses, epidural abscess, and septic spondylodiscitis. The patient responded well to prolonged ceftriaxone treatment and was released 10 weeks after initial admission. Spinal lesions and/or pyomyositis individually constitute rare complications of disseminated gonococcal infection. This case, combining both manifestations, is to our knowledge unique. Apropos, diversity of the clinical presentation, and therapeutic challenges for this historical disease are discussed for the practicing physician.
authors.affiliation: Infectious Diseases Unit, 3rd Department of Pediatrics, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: Iordanis
authors.initials: I
authors.lastname: Romiopoulos
authors.affiliation: Infectious Diseases Unit, 3rd Department of Pediatrics, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece; 2nd Propaedeutic Department of Internal Medicine, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: Athina
authors.initials: A
authors.lastname: Pyrpasopoulou
authors.affiliation: 2nd Propaedeutic Department of Internal Medicine, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: Anna
authors.initials: A
authors.lastname: Varouktsi
authors.affiliation: 2nd Propaedeutic Department of Internal Medicine, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: Elisavet
authors.initials: E
authors.lastname: Simoulidou
authors.affiliation: Laboratory of Microbiology, Gennimatas General Hospital, Thessaloniki, Greece.
authors.forename: Konstantina
authors.initials: K
authors.lastname: Kontopoulou
authors.affiliation: Laboratory of Microbiology, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: Ekaterini
authors.initials: E
authors.lastname: Karantani
authors.affiliation: Laboratory of Radiology, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: Vivian
authors.initials: V
authors.lastname: Georgopoulou
authors.affiliation: Department of Medicine, Gennimatas Hospital, Thessaloniki, Greece.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Kitsios
authors.affiliation: 3rd Department of Obstetrics and Gynecology, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: Apostolos
authors.initials: A
authors.lastname: Mamopoulos
authors.affiliation: Infectious Diseases Unit, 3rd Department of Pediatrics, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: Charalampos
authors.initials: C
authors.lastname: Antachopoulos
authors.affiliation: 2nd Propaedeutic Department of Internal Medicine, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: Asterios
authors.initials: A
authors.lastname: Karagiannis
authors.affiliation: Infectious Diseases Unit, 3rd Department of Pediatrics, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: Emmanuel
authors.identifier: 0000-0002-0202-364X
authors.initials: E
authors.lastname: Roilides