CC BY-NC-ND 4.0 · J Lab Physicians 2023; 15(03): 462-465
DOI: 10.1055/s-0042-1758806
Case Report

Disseminated Gonococcal Infection Caused by a Multidrug-Resistant Pathogen Presenting with Hemorrhagic Manifestation: A Case Report

1   Department of Medical Microbiology and Parasitology, Faculty of Basic Clinical Sciences, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria
,
Amina Gambo Umar
2   Department of Obstetrics and Gynaecology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
,
Muhammad Zainu Sabitu
3   Department of Medical Microbiology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
,
Saratu Bello
2   Department of Obstetrics and Gynaecology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
,
Muktar Umar
4   Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
,
Ahmed Kolawole Jimoh
3   Department of Medical Microbiology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
,
Fatima Birnin Yauri Aliyu
2   Department of Obstetrics and Gynaecology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
,
Jibril Abubakar
3   Department of Medical Microbiology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
› Author Affiliations

Abstract

The incidence of disseminated gonococcal infection (DGI) is rising in some parts of the world, but there is paucity of data on its true incidence from sub-Saharan Africa. DGI has varied manifestations in different population group. We report a case of a 30-year-old sexually active woman presenting with hemorrhagic symptoms 2 weeks after a surgery on account of diagnosis of uterine fibroid made at a peripheral hospital. A multidrug-resistant Neisseria gonorrhoeae was isolated from the wound on her surgical site and blood sample. She was managed with intravenous meropenem, pressure dressing, and blood products, with the patient making a full recovery after a week. This case is presented because it is a rare one. Moreover, there is the need to revive the awareness of clinicians on the existence of multidrug-resistant gonococcus in our environment. We herein report a case of DGI from Nigeria.

Informed Consent

Patient consent was obtained for her images and other clinical details to be used in the case report. The names and initials were not published, and her identity was concealed as much as possible.




Publication History

Article published online:
19 December 2022

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