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首页> 外文期刊>Journal of Clinical Medicine Research >Multifocal Cellulitis due to Disseminated Neisseria Gonorrhoeae in a Male Patient
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Multifocal Cellulitis due to Disseminated Neisseria Gonorrhoeae in a Male Patient

机译：男性患者由于淋病奈瑟菌引起的多灶性蜂窝组织炎

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We report a rare case of disseminated gonococcal infection in a 37-year-old man presenting with multifocal cellulitis. The patient presented with fever and painful swelling of the right foot and left hand, and was admitted to our hospital. CT scanning of the extremities revealed multifocal cellulitis. Transthoracic echocardiography findings were normal, and piperacilin/tazoactam therapy was initiated. On antibiotic day 4, Neisseria gonorrhoeae was cultured from a purulent effusion collected from a focal site. Chlamydia trachomatis was detected in urine samples by PCR. We made the diagnosis of multifocal cellulitis due to N. gonorrhoeae in a patient with chlamydia urethritis. The antibiotic agent was changed from piperacilin/tazobactam to ceftriaxone. Levofloxacin was also administered for chlamydia urethritis. By admission day 14, all lesions had resolved and administration of antibiotic agents was terminated. Disseminated gonococcal infection, although rare, should be included in the differential diagnosis of all sexually active patients who present with multifocal cellulitis - also a rare condition, particularly in light of the fact that in recent times, patterns of sexual activity have changed, which was a pertinent factor in this case.J Clin Med Res. 2014;6(3):215-217doi: http://dx.doi.org/10.14740/jocmr1732w
机译：我们报告了一个罕见的病例，该病在一个患有多灶性蜂窝织炎的37岁男子中传播了淋球菌感染。该患者出现发烧，右脚和左手疼痛肿胀，已入院。四肢的CT扫描显示多灶性蜂窝织炎。经胸超声心动图检查结果正常，并开始使用哌拉西林/他唑酰胺治疗。在抗生素第4天，从聚焦部位收集的脓性渗出物中培养淋病奈瑟氏球菌。通过PCR检测尿样中的沙眼衣原体。我们对衣原体尿道炎患者的淋病奈瑟氏球菌进行了多灶性蜂窝组织炎的诊断。将抗生素剂从哌拉西林/他唑巴坦改为头孢曲松。左氧氟沙星也可用于衣原体尿道炎。入院第14天，所有病变均已解决，抗生素治疗终止。对所有患有多灶性蜂窝组织炎的性活跃患者的鉴别诊断中应包括弥漫性淋球菌感染，尽管这种情况很少见，这也是一种罕见病，尤其是考虑到最近性行为方式发生了变化，在这种情况下的一个相关因素。JClin Med Res。 2014; 6（3）：215-217doi：http：//dx.doi.org/10.14740/jocmr1732w

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