44: Disseminated gonococcal infection in pregnancy

      Background: Neisseria gonorrhea is a sexually transmitted infection that has increased in prevalence by 10.5% nationally since 2010 in the US. The incidence of gonorrhea in teenagers in Peoria County is 3.5% compared to 0.5% nationally. In pregnancy, it can be characterized by purulent vaginal discharge, although many times it is incidentally identified on initial prenatal labs. Approximately 0.5 to 3% of cases cause gonococcal bacteremia with extragenital manifestations, primarily arthritis. Of note in pregnancy, arthritis or dermatitis may be the only symptom and a high index of suspicion should be had in order to screen for this common sexually transmitted disease.
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