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Gonococcal cellulitis: an (un)friendly bite.

Amos Lal1, Alwyn Rapose2,3

  • 1Department of Internal Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA, 01608, USA. Amos.Lal@stvincenthospital.com.

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|March 18, 2018
PubMed
Summary
This summary is machine-generated.

This case study details a rare instance of Neisseria gonorrhoeae causing a primary skin abscess without genital symptoms. Prompt treatment with antibiotics led to complete resolution, highlighting atypical presentations of this common infection.

Keywords:
AbscessCellulitisGonococcal infectionSexually transmitted infection

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Area of Science:

  • Infectious Diseases
  • Dermatology
  • Microbiology

Background:

  • Gonococcal infection, typically affecting the genitourinary tract, presents a wide spectrum of symptoms.
  • Recent years have seen an increase in extra-genital Neisseria gonorrhoeae infections, linked to evolving sexual practices.

Observation:

  • A 33-year-old male presented with a painful penile abscess, a rare initial manifestation of gonococcal infection.
  • The patient had no concurrent urogenital or systemic symptoms, indicating a primary cutaneous presentation.

Findings:

  • Microbiological evaluation confirmed the abscess was caused by Neisseria gonorrhoeae.
  • The patient received a course of intravenous ceftriaxone followed by oral amoxicillin-clavulanate, resulting in complete resolution of the skin abscess.

Implications:

  • This case underscores the importance of considering Neisseria gonorrhoeae in primary cutaneous infections, even without typical urogenital involvement.
  • There is a need for evidence-based guidelines for treating primary cutaneous gonococcal infections, potentially informed by pooled data from similar rare cases.