Disseminated gonococcal infection and the inaugural diagnosis of latent autoimmune diabetes in a young adult

• Pires Correia Cristina Alexandra ^[1] ; Ferraz Rita ^[2] ; Chaves Paulo ^[1] ; Almeida Jorge ^[1]
  1. [1] Serviço de Medicina Interna do Centro Hospitalario Sao Joao, Porto
  2. [2] Serviço de Infecciología do Centro Hospitalario Sao Joao, Porto
• Localización: Galicia Clínica, ISSN 0304-4866, ISSN-e 1989-3922, Vol. 81, Nº. 4 (Diciembre), 2020, págs. 118-122
• Idioma: inglés
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• Resumen

  • Disseminated gonococcal infection (DGI) is a rare and emerging disease that should be considered in individuals who present with acute polyarthralgias, skin lesions and/or tenosynovitis, even in the absence of genitourinary symptoms.

    We describe a 29 years old man presenting with fever, arthralgias, skin lesions and signs of tenosynovitis. The diagnostic approach identified a disseminated gonococcal infection and an unrecognized and latent autoimmune diabetes.

    We emphasize not only the particularities of diagnostic and treatment approach currently required by this emergent infection, but also the importance of investigation of rare risk factors associated with an underlying immunosuppression. In latent autoimmune diabetes of adults a timely recognition and individualized treatment are fundamental for prognostic.