Abstract

TURINA, María Adelaida; GARBASZ, Claudia  and  GUZMAN GAVIRIA, José Alejandro. Abdomen agudo quirúrgico por Neisseria gonorrhoeae. Acta bioquím. clín. latinoam. [online]. 2023, vol.57, n.3, pp.291-295. ISSN 0325-2957.

Differential diagnosis of pelvic inflammatory disease (PID) represents a challenge because it has a great polymorphism in its presentations and, if symptomatic, there are numerous pathologies that cause acute abdominal pain. Neisseria gonorrhoeae is one of the most frequent etiological agents. The case of a female patient with acute abdominal syndrome associated with vomiting is presented. Imaging studies (ultrasound and computed tomography) revealed the presence of fluid between the intestinal loops and an enlarged appendix. Surgical management was decided, during which a sample of abdominal liquid was taken and N. gonorrhoeae, susceptible to ceftriaxone and azithromycin, was recovered from its microbiological analysis. The patient was treated with these antibiotics at doses of 1 g/day/iv, with good clinical evolution. In the case of a patient of childbearing age suffering from acute abdomen, it is useful to remember, because of its implications, the possibility of PID due to N. gonorrhoeae.

Keywords : Pelvic inflammatory disease; Neisseria gonorrhoeae; Acute abdomen.

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