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Case Reports in Infectious Diseases
Volume 2016, Article ID 9629761, 4 pages
http://dx.doi.org/10.1155/2016/9629761
Case Report

A Rare Case of Disseminated Pyogenic Gonococcal Infection in an Immunocompetent Woman

1Infectious Diseases Unit, 3rd Department of Pediatrics, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece
22nd Propaedeutic Department of Internal Medicine, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece
3Laboratory of Microbiology, Gennimatas General Hospital, Thessaloniki, Greece
4Laboratory of Microbiology, Hippokration General Hospital, Thessaloniki, Greece
5Laboratory of Radiology, Hippokration General Hospital, Thessaloniki, Greece
6Department of Medicine, Gennimatas Hospital, Thessaloniki, Greece
73rd Department of Obstetrics and Gynecology, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece

Received 3 September 2016; Accepted 22 November 2016

Academic Editor: Fariborz Mansour-ghanaei

Copyright © 2016 Iordanis Romiopoulos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a case of previously healthy, immunocompetent, 41-year-old woman who developed systemic inflammatory response syndrome secondary to Neisseria gonorrhoeae bacteremia. 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.