Cases reported "Gonorrhea"

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1/146. Gonococcal scalp abscess in a neonate delivered by caesarean section.

    Gonococcal infection in caesarean delivered babies is very rare and is usually limited to ophthalmia neonatorum. The mother had rupture of membranes 14 hours before the caesarean section. The infection was most likely introduced by the fetal scalp electrode probes applied 2 hours before delivery. This is the first reported of a neonatal gonococcal abscess in a caesarean delivered infant.
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2/146. Sonographically guided intralesional antibiotic injection for treatment of a recalcitrant pelvic abscess: a case report.

    A pelvic abscess occurred in an infertile woman with an endocervical gonococcal infection after hysterosalpingographical examination. The pelvic abscess was not cured despite rigorous antimicrobial chemotherapy until two intra-abscess ceftriaxone injections were administered. This shows that antibiotics administered systemically may not reach therapeutic concentration in an abscess and an intra-abscess antibiotic injection may help to cure it.
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3/146. Gonococcemia associated with fatal septic shock.

    Gonococcal infection can be associated with septic shock leading to multiple organ failure and death.
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4/146. Emergence of cephem- and aztreonam-high-resistant neisseria gonorrhoeae that does not produce beta-lactamase.

    Regarding neisseria gonorrhoeae, the National Committee for Clinical Laboratory Standards (NCCLS) has not defined the breakpoint minimum inhibitory concentration (MIC) for expanded spectrum cephems such as cefpodoxime and ceftizoxime, because of the absence of resistant strains to these antibiotics. To date, in gonococcal urethritis, after treatment with third generation cephems and aztreonam, clinical failures caused by resistant N. gonorrhoeae strains have not been reported. However, we experienced two clinical failures in patients with gonococcal urethritis treated with cefdinir and aztreonam. N. gonorrhoeae isolates from these two patients showed high-level MICs to these agents. The MIC of cefdinir was 1 microg/ml for both strains and that of aztreonam was 8 microg/ml for both strains, while the MICs of other beta-lactams were also higher than the NCCLS value, except for ceftriaxone, for which the MIC was 0.125 microg/ml for both strains. Moreover, the MICs of fluoroquinolones, tetracyclines, and erythromycin against these two isolates were higher than the NCCLS susceptibility value. These isolates were susceptible to spectinomycin. In N. gonorrhoeae, the emergence of these beta-lactam-resistant isolates is of serious concern. However, a more serious problem is that these isolates were already resistant to non-beta-lactam antimicrobials. In japan, ceftriaxone has not been permitted for clinical use against gonococcal infections. Therefore, in japan, patients with gonococcal urethritis caused by these resistant N. gonorrhoeae strains should be treated with cefodizime or spectinomycin.
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5/146. Recognition of an asymptomatic male carrier of neisseria gonorrhoeae in singapore - a case report.

    neisseria gonorrhoeae was isolated from centrifuged urine deposit of an asymptomatic male. The case history and significance of this asymptomatic infection are described.
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6/146. Meningococcal colonisation misdiagnosed as gonococcal pharyngeal infection.

    Three cases of pharyngeal gonorrhoea were misdiagnosed in patients harbouring meningococci which failed to utilise maltose in CTA medium. The microbiological identity of the isolates was established by other means. Although meningococci giving atypical reactions to carbohydrate utilisation tests occur only rarely, the possibility of a misdiagnosis of gonorrhea, and its social and legal repercussions, should be considered.
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7/146. pregnancy complicated by Evan's syndrome.

    Evan's syndrome was initially diagnosed in a 26-year-old pregnant patient. Following the introduction of high dose steroid therapy, the patient developed possible disseminated gonococcal infection which was followed by preterm labor and abruptio placentae. A cesarean delivery was performed at the 34th week of pregnancy following platelet infusion. While the infant survived, the mother had delayed postpartum hemorrhage.
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8/146. Gonococcal ophthalmia treated with ciprofloxacin.

    neisseria gonorrhoeae infection in the eye and its treatment with ciprofloxacin is presented.
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9/146. Simultaneous scabies and gonococcal infection.

    A case is presented of an unusual complication arising in a man with scabies and gonococcal urethritis: the secondary infection of excoriated genital lesions by neisseria gonorrhoeae. This occurred after he had occluded his genitals with a plastic wrap.
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10/146. The risks of oral-genital contact: a case report.

    Our practice of dentistry allows us the opportunity to educate our patients about the many health risks that can affect the oral cavity. Certain behaviors have the potential for serious risk to dentists and staff as well as patients and their partners. This case report details the diagnosis, treatment, and discussion of oral gonococcal infection and the need for heightened awareness among the dental population.
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