Cases reported "Gonorrhea"

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21/257. Perianal abscess due to neisseria gonorrhoeae: an unusual case in the post-antibiotic era.

    Described here is the case of a 21-year-old homosexual male patient who presented with perianal abscess without urethritis that was caused by infection with neisseria gonorrhoeae. Incision and drainage of the abscess and oral penicillin therapy resulted in full healing, without the development of an anal fistula. The spectrum of gonococcal abscesses and the relevant aspects of their management are discussed. ( info)

22/257. Fitz-Hugh-Curtis syndrome. A laparoscopic approach.

    Four of our patients had classical Fitz-Hugh-Curtis syndrome. Persistent right upper-gradrant pain prompted extensive medical evaluation; anibiotic therapy fialed to relieve the symptoms. In each case, laparoscopy proved to be an ideal method for obtaining definitive diagnosis and therapy. Typical perihepatic violin-string adhesions were cauterized and divided under direct vision with dramatic resolution of symptoms. ( info)

23/257. Treatment of peripheral corneal ulcers by limlial conjunctivectomy.

    We report the rapid healing of several cases of marginal corneal ulceration of various aetiologies after the excision of a 4 to 7 mm strip of adjacent limbal conjunctiva. After conjunctivectomy the remaining conjunctiva was loosely recessed (without sutures). In one case with coexisting scleromalacia, we excised strips of adjacent bulbar conjunctiva with equally good results. Some of the cases had failed to respond to other modes of treatment including topical collagenase inhibitors. One case responded to peritomy and cryotherapy to the ulcer edges, but we have abandoned this treatment in favour of conjunctival excision. Limbal conjunctivectomy with recession is presumed to act by eliminating conjunctival sources of collagenase and proteoglycanase. ( info)

24/257. Gonorrhoea neurosis.

    In two years of clinical practice, the authors saw 47 cases of gonorrhoea of strictly psychological origin--25 patients with anxiety neurosis, 10 with hypochondriasis, 7 with depression, and 5 with paranoid reaction, 25 with impotence initially presented for surgical opinion rather than psychiatric assessment. Socio-demographic factors and 4 clinical details are given, including possible related factors, course, treatment and outcome. Liaison between the veneorologists, surgeons and psychiatrists is strongly advocated. ( info)

25/257. Fulminant endocarditis due to infection with penicillinase-producing neisseria gonorrhoeae.

    endocarditis is a rare but potentially lethal manifestation of gonococcal infection. We report the case of a patient with fulminant endocarditis secondary to infection with penicillinase-producing neisseria gonorrhoeae (PPNG). The patient had rapid deterioration from extensive destruction of the aortic valve with abscess and fistula formation. Lifesaving emergency surgery was performed. To our knowledge this is the first reported case of gonococcal endocarditis secondary to infection with a penicillinase-producing organism. ( info)

26/257. Therapeutic regimens for anorectal gonococcal infection in males.

    Anorectal gonococcal infection is particularly prevalent in women and homosexual men. Although the currently recommended public health Service therapeutic regimens for uncomplicated gonorrhea appear to be effective also for anorectal gonorrhea in women, their efficacy for anorectal infection in men has not been adequately evaluated. We report a case of gonococcal proctitis in a homosexual man that did not respond to therapy with ampicillin plus probenecid and tetracycline, but subsequently responded to spectinomycin therapy. Currently available therapeutic regimens for anorectal gonococcal infection in males are reviewed. ( info)

27/257. low back pain due to neisseria prostatitis: report of three cases.

    After a short term of employment in a new job, 3 young heroin addicts became disabled from low back pain due to neisseria gonorrhea prostatitis. Each returned to work after a few weeks of antibiotic therapy without symptoms following proper diagnosis. These patients demonstrate the importance of a careful history and thorough examination of the patient with low back pain including a rectal examination of the prostate gland. ( info)

28/257. Gonococcal tonsillar infection--a case report and literature review.

    Oral gonococcal infection is an uncommon but well-described manifestation of gonococcal infection, usually described as pharyngitis in the literature. tonsillitis is much rarer and its role in the clinical presentation in oral gonorrhea is less clear. We describe a case of oral gonorrhea presenting with tonsillitis and a discrete cervical lymphadenopathy and present a review of the literature from 1961 to 2002. Of the 512 reported cases of oral gonococcal infection, only 61 have been described to be tonsillitis. The tonsils were invariably enlarged and infected. A whitish-yellow exudate in the cryptae was described in 12 cases (20.6%). fever and cervical lymphadenopathy appear to be rather uncommon, since they have been described in only five (8.2%) and six (9.3%) of the 61 patients with tonsillitis, respectively. Gonococcal tonsillitis should be included in the differential diagnosis of tonsillitis in sexually active patients. ( info)

29/257. Emperor Napoleon Bonaparte: did he have seizures? Psychogenic or epileptic or both?

    Napoleon Bonaparte was a general in the French army at 24 years of age, later conquering most of europe. He was one of the greatest military geniuses the world has ever known, but also an extremely intelligent individual. Did he have seizures? The evidence shows that he had both psychogenic and epileptic attacks. The psychogenic attacks were likely related to the tremendous stress in his life, and the epileptic seizures were the result of chronic uremia from a severe urethral stricture caused by gonorrhea that was transmitted from his wife, Empress Josephine. ( info)

30/257. An unusual cause of an epidural abscess.

    A previously well 30-year-old man presented with severe progressive back pain, joint pain and fever. magnetic resonance imaging confirmed an epidural abscess. A sexual history revealed both risk factors for and previous symptoms of a sexually acquired infection. neisseria gonorrhoeae was isolated from a rectal swab and from a wrist aspirate, consistent with disseminated gonococcal infection. The epidural abscess resolved clinically and radiologically after treatment for N. gonorrhoeae with ceftriaxone. ( info)
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