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DermAtlas: PENIS - gonorrhea
© 2001-2010, DermAtlas
Image Name: gonorrhoea_1_080318   File Type: jpg
Diagnosis: GONORRHEA   Category: sexually transmitted disease /
infections and infestations
Body Site: penis / genital
urethra
  Age: 28 years
Contributor: Nasser Altamimi    
Description: purulent urethral discharge
Comments: This 28-year-old man complained of a mucopurulent urethral discharge for 10 days after sexual contact.

DermAtlas: PENIS - gonorrhea
© 2001-2010, DermAtlas
Image Name: gonorrhoea_1_060109   File Type: jpg
Diagnosis: GONORRHEA   Category: sexually transmitted disease
Body Site: penis / genital   Age: 23 years
Contributor: Rakhesh SV, MD    
Description: erythematous and edematous glans penis and prepuce withmucopurulent discharge
Comments: This 23-year-old man complained of profuse and purulent penile discharge with dysuria five days after unprotected sexual contact with a commercial sex worker. Gram stain of the urethral discharge showed polymorphonuclear cells with intracellular gram negative diplococci.

DermAtlas: ARM - gonorrhea
© 2001-2010, DermAtlas
Image Name: infectious_vasculitis_3_030430   File Type: jpg
Diagnosis: GONORRHEA /
NEISSERIA GONORRHOEAE INFECTION /
VASCULITIS
  Category: infections and infestations
Body Site: arm   Age: 16 years
Contributor: Bernard Cohen, MD    
Description: red lymphangitic streaks
Comments: This 16-year-old girl developed a fever and several painful necrotic bullae on her arms and legs 3 days after her last menstrual period. A cervical culture was positive for Neisseria gonorrhea, and she was treated initially with broad spectrum parenteral antibiotics and then high dose penecillin.
Related Images: infectious_vasculitis_2_030430 

DermAtlas: WRIST - gonorrhea
© 2001-2010, DermAtlas
Image Name: infectious_vasculitis_2_030430   File Type: jpg
Diagnosis: GONORRHEA /
NEISSERIA GONORRHOEAE INFECTION /
VASCULITIS
  Category: infections and infestations
Body Site: wrist / arm   Age: 16 years
Contributor: Bernard Cohen, MD    
Description: stellate necrotic purple bulla with a red border
Comments: This 16-year-old girl developed a fever and several painful necrotic bullae on her arms and legs 3 days after her last menstrual period. A cervical culture was positive for Neisseria gonorrhea, and she was treated initially with broad spectrum parenteral antibiotics and then high dose penecillin.
Related Images: infectious_vasculitis_3_030430 

DermAtlas: GENITAL - gonorrhea
© 2001-2010, DermAtlas
Image Name: gonorrhea_1_020930   File Type: jpg
Diagnosis: GONORRHEA /
NEISSERIA GONORRHOEAE INFECTION
  Category: infections and infestations
Body Site: genital / penis
urethra
  Age: 25 years
Contributor: Kosman Sadek Zikry, MD    
Description: purulent urethral discharge
Comments: These young adults were evaluated for dysuria and a purulent urethral discharge. Cultures were positive for Neisseria gonorrhea.

DermAtlas: LEG - gonorrhea
© 2001-2010, DermAtlas
Image Name: gonococcemia_1_020727   File Type: jpg
Diagnosis: GONORRHEA /
NEISSERIA GONORRHOEAE INFECTION /
EMBOLUS, SEPTIC /
VASCULITIS
  Category: infections and infestations /
purpura
Body Site: leg   Age: 17 years
Contributor: Bernard Cohen, MD    
Description: 3-4 mm purpuric papules
Comments: This adolescent girl developed tender purpuric papules on her right leg associated with fever and arthralgias. A cervical examination revealed cervical and adnexal tenderness, and a culture was positive for Neisseria gonorrhoeae. She improved quickly with parenteral antibiotics. Skin biopsy revealed a leukocytoclastic vasculitis and no organisms were indentified.

DermAtlas: FOOT - gonorrhea
© 2001-2010, DermAtlas
Image Name: gonococcemia_2_020727   File Type: jpg
Diagnosis: GONORRHEA /
NEISSERIA GONORRHOEAE INFECTION /
EMBOLUS, SEPTIC
  Category: infections and infestations
Body Site: foot / sole   Age: 15 years
Contributor: Bernard Cohen, MD    
Description: tender 3 mm pustule on a red base
Comments: During her menstrual period this 15 year old girl developed a tender pustule on her right sole and tenosynovitis of the right shoulder. A cervical culture grew Neissereia gonorrhea, and she was treated with parenteral antibiotics with clearing of the pustule, cervical infection, and joint symtpoms. A paucity of tender cutaneous lesions on the distal extremities associated with cervical infection, tenosynovitis, and pelvic inflammatory disease symptoms is typical of gonococcemia.

DermAtlas: FINGER - gonorrhea
© 2001-2010, DermAtlas
Image Name: dgi_1_020518   File Type: jpg
Diagnosis: GONORRHEA /
NEISSERIA GONORRHOEAE INFECTION /
EMBOLUS, SEPTIC /
VASCULITIS, LEUKOCYTOCLASTIC
  Category: infections and infestations
Body Site: finger / ankle   Age: 24 years
Contributor: Bernard Cohen, MD    
Description: painful pustules with surrounding violaceous erythema
Comments: This 24 year old woman with a history of recurrent sexually transmitted diseases developed a fever, several painful joints, and 3 exquisitely tender pustules on a violaceous base on her right palm, the side of a finger on each hand, and her left ankle. A biopsy of the ankle pustule demonstrated a leukocytoclastic vasculitis, but no organisms were seen. A culture from her cervix grew Neisseria gonorrhoeae. The small number of tneder necrotic pustules on the distal extremities is typical of disseminated gonococcal infection.
Related Images: dgi_2_020518 

DermAtlas: FINGER - gonorrhea
© 2001-2010, DermAtlas
Image Name: dgi_2_020518   File Type: jpg
Diagnosis: GONORRHEA /
NEISSERIA GONORRHOEAE INFECTION /
EMBOLUS, SEPTIC /
VASCULITIS, LEUKOCYTOCLASTIC
  Category: infections and infestations
Body Site: finger / ankle   Age: 24 years
Contributor: Bernard Cohen, MD    
Description: painful pustules with surrounding violaceous erythema
Comments: This 24 year old woman with a history of recurrent sexually transmitted diseases developed a fever, several painful joints, and 3 exquisitely tender pustules on a violaceous base on her right palm, the side of a finger on each hand, and her left ankle. A biopsy of the ankle pustule demonstrated a leukocytoclastic vasculitis, but no organisms were seen. A culture from her cervix grew Neisseria gonorrhoeae. The small number of tneder necrotic pustules on the distal extremities is typical of disseminated gonococcal infection.
Related Images: dgi_1_020518 

DermAtlas: PENIS - gonorrhea
© 2001-2010, DermAtlas
Image Name: gonorrhea_2_020310   File Type: jpg
Diagnosis: GONORRHEA /
NEISSERIA GONORRHOEAE INFECTION
  Category: sexually transmitted disease /
infections and infestations /
mucous membrane disorders
Body Site: penis / genital   Age: 20 years
Contributor: Kosman Sadek Zikry, MD    
Description: purulent penile discharge
Comments: This 20 year old man complained of pain on urination for 10 days. Culture of the purulent penile discarge grew Neisseria gonorrhoeae.
Related Images: gonorrhea_1_020310 

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Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Jan-18-2010
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