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Neisseria gonorrhoeae foot abscess. A case report
1Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710.
Clinical Orthopaedics and Related Research
|September 1, 1988
Summary
Disseminated gonococcal infection causing a rare foot abscess in a child with arthrogryposis was successfully treated. This case highlights the importance of considering Neisseria gonorrhoeae in unusual skin infections.
Area of Science:
- Dermatology
- Infectious Diseases
- Pediatrics
Background:
- Cutaneous abscesses caused by Neisseria gonorrhoeae are uncommon, typically occurring in the perineal region.
- Remote skin lesions suggest disseminated gonococcal disease, a serious systemic infection.
Observation:
- A 12-year-old female patient with arthrogryposis multiplex congenita presented with a two-week history of pain, erythema, and swelling on her lateral forefoot.
- A cutaneous abscess was identified on the plantar aspect of her left foot.
Findings:
- The abscess was confirmed to be caused by Neisseria gonorrhoeae.
- The patient's infection was successfully managed with a multi-modal approach.
Implications:
- This case underscores the possibility of disseminated gonococcal infections presenting with extragenital cutaneous abscesses, even in pediatric patients with underlying conditions.
- Prompt diagnosis and appropriate treatment, including surgical drainage and antibiotics, are crucial for favorable outcomes.
- Further research may be warranted to understand the specific risk factors and clinical presentations of gonococcal infections in patients with arthrogryposis multiplex congenita.