Background Gonorrhoea is an infection caused by Neisseria gonorrhoeae. It is considered a significant public health problem. Asymptomatic infections are common, especially in women, and can lead to systemic dissemination. Case presentation We discuss a unique case of a 48-year old woman presenting with disseminated gonococcal infection (DGI) complicated by pleural and pericardial effusions. Microbiological confirmation was obtained by N. gonorrhoeae polymerase chain reaction on pleural fluid. The patient was successfully treated with intravenous ceftriaxone and pleural drainage. We provide a comprehensive review of the literature on gonococcal pleuritis and pericarditis. Both are rare complications of (DGI), but the combination has never been described in literature. Conclusion This case highlights the importance of early recognition and treatment of gonorrhoea and DGI to prevent severe complications. Clinical trial Not applicable.
Togo et al. (Tue,) studied this question.