Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection
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...
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Wiley
2015-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2015/385126 |
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| author | Daniel Bunker Leslie Dubin Kerr |
| author_facet | Daniel Bunker Leslie Dubin Kerr |
| author_sort | Daniel Bunker |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-cad727fcd7164d8a980828fa7da0f9fc |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-cad727fcd7164d8a980828fa7da0f9fc2025-02-03T06:12:32ZengWileyCase Reports in Infectious Diseases2090-66252090-66332015-01-01201510.1155/2015/385126385126Acute Myopericarditis Likely Secondary to Disseminated Gonococcal InfectionDaniel Bunker0Leslie Dubin Kerr1Division of Rheumatology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADivision of Rheumatology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADisseminated 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.http://dx.doi.org/10.1155/2015/385126 |
| spellingShingle | Daniel Bunker Leslie Dubin Kerr Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection Case Reports in Infectious Diseases |
| title | Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection |
| title_full | Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection |
| title_fullStr | Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection |
| title_full_unstemmed | Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection |
| title_short | Acute Myopericarditis Likely Secondary to Disseminated Gonococcal Infection |
| title_sort | acute myopericarditis likely secondary to disseminated gonococcal infection |
| url | http://dx.doi.org/10.1155/2015/385126 |
| work_keys_str_mv | AT danielbunker acutemyopericarditislikelysecondarytodisseminatedgonococcalinfection AT lesliedubinkerr acutemyopericarditislikelysecondarytodisseminatedgonococcalinfection |