Neisseria Gonorrhoeae Spontaneous Bacterial Peritonitis
We describe a case of gonococcal spontaneous bacterial peritonitis (SBP) in a 48-year-old sexually active female with alcoholic cirrhosis and chronic hepatitis B. She was admitted with fever, abdominal pain and distension without dysuria, dyspareunia, or vaginal discharge. On exam, she was icteric w...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2021/8865339 |
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| author | George Mwandia Ryan Q. Simon Hari Polenakovik Katelyn J. Booher |
| author_facet | George Mwandia Ryan Q. Simon Hari Polenakovik Katelyn J. Booher |
| author_sort | George Mwandia |
| collection | DOAJ |
| description | We describe a case of gonococcal spontaneous bacterial peritonitis (SBP) in a 48-year-old sexually active female with alcoholic cirrhosis and chronic hepatitis B. She was admitted with fever, abdominal pain and distension without dysuria, dyspareunia, or vaginal discharge. On exam, she was icteric with features of sepsis and tense ascites. She underwent paracentesis. The ascitic fluid analysis revealed a neutrophil count of 1,050/µL, and culture grew Neisseria gonorrhoeae. Pelvic examination findings were negative for pelvic inflammatory disease; however, an endocervical swab was positive for N. gonorrhoeae by PCR. She was diagnosed with spontaneous bacterial peritonitis secondary to N. gonorrhoeae and was successfully treated with a seven-day course of IV ceftriaxone. N. gonorrhoeae spontaneous bacterial peritonitis is an extremely rare entity reported only twice despite the high prevalence of gonorrhoeae in the general population. We hypothesize that gonococcal SBP may be frequently undiagnosed since it responds to empiric antibiotics used to treat SBP. It is important for the clinician to be aware of gonococcus as a rare but potential pathogen in SBP. Future studies are needed to determine if routine gonococcal screening in SBP cases would be of clinical utility. |
| format | Article |
| id | doaj-art-74ffd7d50d20442ea72b3af33822ba31 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-74ffd7d50d20442ea72b3af33822ba312025-02-03T01:09:56ZengWileyCase Reports in Infectious Diseases2090-66252090-66332021-01-01202110.1155/2021/88653398865339Neisseria Gonorrhoeae Spontaneous Bacterial PeritonitisGeorge Mwandia0Ryan Q. Simon1Hari Polenakovik2Katelyn J. Booher3Wright State University Boonshoft School of Medicine, Department of Infectious Diseases, Weber CHE Building, 2nd Floor E Apple St. Dayton, Dayton, OH 45409-2902, USAWright State University Boonshoft School of Medicine, Department of Infectious Diseases, Weber CHE Building, 2nd Floor E Apple St. Dayton, Dayton, OH 45409-2902, USAWright State University Boonshoft School of Medicine, Department of Infectious Diseases, Weber CHE Building, 2nd Floor E Apple St. Dayton, Dayton, OH 45409-2902, USAWright State University Boonshoft School of Medicine, Department of Infectious Diseases, Weber CHE Building, 2nd Floor E Apple St. Dayton, Dayton, OH 45409-2902, USAWe describe a case of gonococcal spontaneous bacterial peritonitis (SBP) in a 48-year-old sexually active female with alcoholic cirrhosis and chronic hepatitis B. She was admitted with fever, abdominal pain and distension without dysuria, dyspareunia, or vaginal discharge. On exam, she was icteric with features of sepsis and tense ascites. She underwent paracentesis. The ascitic fluid analysis revealed a neutrophil count of 1,050/µL, and culture grew Neisseria gonorrhoeae. Pelvic examination findings were negative for pelvic inflammatory disease; however, an endocervical swab was positive for N. gonorrhoeae by PCR. She was diagnosed with spontaneous bacterial peritonitis secondary to N. gonorrhoeae and was successfully treated with a seven-day course of IV ceftriaxone. N. gonorrhoeae spontaneous bacterial peritonitis is an extremely rare entity reported only twice despite the high prevalence of gonorrhoeae in the general population. We hypothesize that gonococcal SBP may be frequently undiagnosed since it responds to empiric antibiotics used to treat SBP. It is important for the clinician to be aware of gonococcus as a rare but potential pathogen in SBP. Future studies are needed to determine if routine gonococcal screening in SBP cases would be of clinical utility.http://dx.doi.org/10.1155/2021/8865339 |
| spellingShingle | George Mwandia Ryan Q. Simon Hari Polenakovik Katelyn J. Booher Neisseria Gonorrhoeae Spontaneous Bacterial Peritonitis Case Reports in Infectious Diseases |
| title | Neisseria Gonorrhoeae Spontaneous Bacterial Peritonitis |
| title_full | Neisseria Gonorrhoeae Spontaneous Bacterial Peritonitis |
| title_fullStr | Neisseria Gonorrhoeae Spontaneous Bacterial Peritonitis |
| title_full_unstemmed | Neisseria Gonorrhoeae Spontaneous Bacterial Peritonitis |
| title_short | Neisseria Gonorrhoeae Spontaneous Bacterial Peritonitis |
| title_sort | neisseria gonorrhoeae spontaneous bacterial peritonitis |
| url | http://dx.doi.org/10.1155/2021/8865339 |
| work_keys_str_mv | AT georgemwandia neisseriagonorrhoeaespontaneousbacterialperitonitis AT ryanqsimon neisseriagonorrhoeaespontaneousbacterialperitonitis AT haripolenakovik neisseriagonorrhoeaespontaneousbacterialperitonitis AT katelynjbooher neisseriagonorrhoeaespontaneousbacterialperitonitis |