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[The so-called "benign gonoccocal sepsis"]

R Schröter, A Bersch, F Osswald

    Zeitschrift Fur Hautkrankheiten
    |August 1, 1975
    PubMed
    Summary
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    This study reports on five female patients with benign gonococcal sepsis, characterized by fever, joint pain, and skin lesions. Diagnosis was confirmed by culturing Neisseria gonorrhoeae from the genitourinary tract.

    Area of Science:

    • Infectious Diseases
    • Dermatology
    • Rheumatology

    Background:

    • Gonococcal sepsis, though rare, can present with diverse clinical manifestations.
    • Understanding atypical presentations is crucial for timely diagnosis and treatment.

    Observation:

    • Five female patients presented with fever, arthralgias, and superficial vasculitis skin lesions.
    • Genital symptoms were minimal, and direct detection of Neisseria gonorrhoeae was challenging.

    Findings:

    • Neisseria gonorrhoeae was consistently cultured from the genitourinary tract, despite sterile blood and skin cultures.
    • Histopathological examination of skin biopsies revealed superficial vasculitis.
    • Immunofluorescence confirmed gonococci in fresh pustules in two cases.

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    Implications:

    • Highlights the importance of genitourinary cultures in suspected gonococcal sepsis, even with absent genital symptoms.
    • Suggests superficial vasculitis as a key dermatological manifestation.
    • Recommends the complement-fixation test as a valuable diagnostic aid.