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J Pediatr Infect Dis 2020; 15(06): 314-318
DOI: 10.1055/s-0040-1712943
Case Report

Acute Gonococcal Osteomyelitis and Arthritis of Hip: An Interesting Case and Review of Literature

Nikki Agarwal
1   Department of Pediatrics, Metro Health Medical Center, Cleveland, Ohio, United States
,
Nazha Abughali
1   Department of Pediatrics, Metro Health Medical Center, Cleveland, Ohio, United States
,
Kobkul Chotikanatis
1   Department of Pediatrics, Metro Health Medical Center, Cleveland, Ohio, United States
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Abstract

Gonorrhea is the most common sexually transmitted disease globally, affecting both men and women equally. It has a myriad of presentations which can vary from local disease to disseminated gonococcal infection. We are reporting the first case of gonococcal arthritis leading to acute osteomyelitis of the femoral head in a young adult with Charcot-Marie-Tooth disease that occurred over a period of 2 weeks. Gonorrhea can affect joints and cause arthritis, and there have been case reports of untreated gonococcal arthritis leading to osteomyelitis after months. Here we report the first case of acute gonococcal spread to the bones causing osteomyelitis in a young adult. A high index of suspicion is needed to recognize this condition which if left unnoticed, can lead to erosive bone damage, and severe consequences.

Keywords

septic osteomyelitis - gonococcal - hip

Authors' Contributions

N.A. drafted the initial manuscript, reviewed the literature, and revised the manuscript. N.A. and K.C. supervised the manuscript writing and format, conceptualized the format, and reviewed and revised the manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.




Publication History

Received: 15 February 2020

Accepted: 24 April 2020

Article published online:
10 June 2020

Georg Thieme Verlag KG
Stuttgart · New York