Gonococcal endocarditis

Article Abstract:

Gonococcal endocarditis is one possibility in sexually active patients who develop a new or worsening heart murmur. Gonococcal endocarditis is a rare complication of gonorrhea in which the organism infects and destroys a heart valve or valves. Other symptoms include two or more weeks of muscle pain, fever, and kidney dysfunction. An 18-year-old woman presented with pain and numbness in her legs. Urine was dark and scanty. She had fever and flu-like symptoms. She had unprotected intercourse three months previously. She had a clot blocking an artery serving her legs. Emergency surgery was performed and kidney dialysis started. Blood cultures were positive for Neisseria gonorrhoeae. Despite antibiotic treatment, fever continued. On day 12, a new heart murmur was heard. An echocardiogram revealed valvular damage. On day 21, a repeat echocardiogram revealed worsening damage. Because she was showing signs of heart failure, the valve was replaced on day 36. Examination of the valve confirmed that infection caused the damage.

Case studies, Complications and side effects, Endocarditis, Bacterial, Bacterial endocarditis

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Gonorrhea, genital chlamydial infection, and nonspecific urethritis in male partners of women hospitalized and treated for acute pelvic inflammatory disease

Article Abstract:

More than half of the male sexual partners of women treated for acute pelvic inflammatory disease (PID) in a Swedish study were infected with either Chlamydia trachomatis, gonorrhea or non-specific urethritis. PID, which is most often caused by the spread of a lower genital tract infection, can lead to infertility and other serious complications. Out of the 196 women admitted for treatment of PID, 39.3% of them had concurrent gonorrhea or chlamydia or both. Follow-up was conducted with 200 male partners of the women. A non-specific urethritis was found in 35.5% of the partners. C. trachomatis was found in 19% of the male partners and gonorrhea was found in 4%. Many of the men had no symptoms. Male partners of women with PID should be evaluated for the presence of a sexually transmitted disease and receive treatment.

Risk factors, Disease transmission, Chlamydia trachomatis, Pelvic inflammatory disease, Urethritis, Nongonococcal, Nongonococcal urethritis

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