Disseminated Gonococcal Infection in An Elderly Japanese Man

Hideharu Hagiya; Nobuhiko Onishi; Hirotaka Ebara; Yoshihisa Hanayama; Susumu Kokeguchi; Motoko Nose; Nobuchika Kusano; Fumio Otsuka

doi:10.2169/internalmedicine.52.1033

CASE REPORTS

Disseminated Gonococcal Infection in An Elderly Japanese Man

Hideharu Hagiya, Nobuhiko Onishi, Hirotaka Ebara, Yoshihisa Hanayama, Susumu Kokeguchi, Motoko Nose, Nobuchika Kusano, Fumio Otsuka

Author information

Hideharu Hagiya
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Nobuhiko Onishi
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Hirotaka Ebara
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Yoshihisa Hanayama
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Susumu Kokeguchi
Department of Oral Microbiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Motoko Nose
Department of Clinical Laboratory, Okayama University Hospital, Japan
Nobuchika Kusano
Department of Infectious Disease, Okayama University Hospital, Japan
Fumio Otsuka
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan

Keywords: disseminated gonococcal infection, elderly, imported infectious disease, Neisseria gonorrhoeae, sexually transmitted infection

JOURNAL OPEN ACCESS

2013 Volume 52 Issue 23 Pages 2669-2673

DOI https://doi.org/10.2169/internalmedicine.52.1033

Details

Abstract

We herein present the case of a 69-year-old Japanese man who had unprotected sexual contact with a local commercial sex worker in an East Asian country and was diagnosed as having disseminated gonococcal infection (DGI). The organism was confirmed to be Neisseria gonorrhoeae based on 16S rRNA sequencing and positive results for the cppB gene. This case indicates that a diagnosis of DGI should also be considered in elderly individuals. DGI potentially causes many complications, and the pathogen has recently been reported to be resistant to various antibiotics. Physicians must therefore pay more attention to the possible occurrence of DGI in various clinical settings.

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