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Al-Ali A, Zahra G, Padovese V. Gonococcal peritonitis: A case report and review of literature. Int J STD AIDS 2024; 35:742-745. [PMID: 38695071 DOI: 10.1177/09564624241249199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/07/2024]
Abstract
Neisseria gonorrhoeae (Ng) is a major cause of morbidity among sexually active individuals, occasionally leading to serious complications if left untreated. We describe a case of gonococcal peritonitis as a rare complication of Ng infection in a woman presenting with acute abdomen and intestinal subacute occlusion. Due to the rarity of this clinical presentation, we review the scientific literature to identify best practices and inform guidelines.
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Affiliation(s)
- Alya Al-Ali
- Department of Dermatology, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
| | - Garzilella Zahra
- Molecular Diagnostic Unit, Department of Pathology, Mater Dei Hospital, Msida, Malta
| | - Valeska Padovese
- Genitourinary Clinic, Department of Dermatology and Venereology, Mater Dei Hospital, Msida, Malta
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Francesco MAD, Stefanelli P, Carannante A, Corbellini S, Giagulli C, Lorenzin G, Ronconi M, Arici E, Cadei M, Campora R, Caruso A. Management of a Case of Peritonitis Due to Neisseria gonorrhoeae Infection Following Pelvic Inflammatory Disease (PID). Antibiotics (Basel) 2020; 9:antibiotics9040193. [PMID: 32325724 PMCID: PMC7235818 DOI: 10.3390/antibiotics9040193] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Revised: 04/15/2020] [Accepted: 04/17/2020] [Indexed: 11/16/2022] Open
Abstract
Pelvic inflammatory disease (PID), a serious infection in sexually active women, is one of the reasons for which females seek care in emergency departments and therefore represents an important public health problem. PID is the result of an endocervical infection with different microorganisms, which then ascend to the endometrium and fallopian tubes. Symptoms of PID may be mild and aspecific, making its diagnosis difficult. However, this clinical condition requires effective antibiotic treatment to reduce incidence of complications and late sequelae. We describe here a case of peritonitis as a complication of pelvic inflammatory disease (PID) due to Neisseria gonorrhoeae infection in a 49-year-old woman who presented at the Emergency Department with acute abdominal pain.
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Affiliation(s)
- Maria A. De Francesco
- Department of Molecular and Translational Medicine, Institute of Microbiology, University of Brescia-Spedali Civili, 25123 Brescia, Italy; (S.C.); (C.G.); (G.L.); (A.C.)
- Correspondence: ; Tel.: +39-030-3995860; Fax: +39-030-3996071
| | - Paola Stefanelli
- Department Infectious Diseases, Istituto Superiore di Sanità, 00161 Rome, Italy; (P.S.); (A.C.)
| | - Anna Carannante
- Department Infectious Diseases, Istituto Superiore di Sanità, 00161 Rome, Italy; (P.S.); (A.C.)
| | - Silvia Corbellini
- Department of Molecular and Translational Medicine, Institute of Microbiology, University of Brescia-Spedali Civili, 25123 Brescia, Italy; (S.C.); (C.G.); (G.L.); (A.C.)
| | - Cinzia Giagulli
- Department of Molecular and Translational Medicine, Institute of Microbiology, University of Brescia-Spedali Civili, 25123 Brescia, Italy; (S.C.); (C.G.); (G.L.); (A.C.)
| | - Giovanni Lorenzin
- Department of Molecular and Translational Medicine, Institute of Microbiology, University of Brescia-Spedali Civili, 25123 Brescia, Italy; (S.C.); (C.G.); (G.L.); (A.C.)
| | - Maurizio Ronconi
- General Surgery, ASST- Spedali Civili of Gardone Val Trompia and Brescia, 25063 Brescia, Italy; (M.R.); (E.A.)
| | - Elisa Arici
- General Surgery, ASST- Spedali Civili of Gardone Val Trompia and Brescia, 25063 Brescia, Italy; (M.R.); (E.A.)
| | - Monica Cadei
- Radiology Unit, ASST-Spedali Civili of Gardone Val Trompia, 25063 Brescia, Italy;
| | - Riccardo Campora
- Department of Radiology, University and ASST Spedali Civili of Brescia, 25063 Brescia, Italy;
| | - Arnaldo Caruso
- Department of Molecular and Translational Medicine, Institute of Microbiology, University of Brescia-Spedali Civili, 25123 Brescia, Italy; (S.C.); (C.G.); (G.L.); (A.C.)
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Gonococcal peritonitis diagnosed post laparotomy in a 38-year-old woman: a case report. CASES JOURNAL 2009; 2:8080. [PMID: 20011634 PMCID: PMC2790738 DOI: 10.4076/1757-1626-2-8080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/31/2009] [Accepted: 08/20/2009] [Indexed: 11/23/2022]
Abstract
A 38-year-old South African lady with a background history of cervical intra-epithelial neoplasia and recent colposcopy presented to the emergency department with severe abdominal pain. Initial investigations were non-diagnostic and despite empirical antibiotic therapy the patient developed peritonism. Post-laprotomy the diagnosis of severe pelvic inflammatory disease and peritonitis secondary to infection with Neisseria Gonorrhoea was made.
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