{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:13:47Z","timestamp":1761513227639,"version":"build-2065373602"},"reference-count":16,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":4054,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,7,28]]},"abstract":"<jats:p>This case report details the progress of a patient with severe disseminated gonococcal infection with associated necrotising fasciitis. His admission was punctuated by multiple surgical debridements and a prolonged intensive care stay due to multiple organ failure. An extended course of azithromycin-based antimicrobial therapy achieved a cure and the patient was eventually discharged home after 8 weeks. To our knowledge this is the first such case of histologically and microbiologically confirmed gonococcal necrotising fasciitis.<\/jats:p>","DOI":"10.1071\/sh14027","type":"journal-article","created":{"date-parts":[[2014,7,23]],"date-time":"2014-07-23T19:38:26Z","timestamp":1406144306000},"page":"280-282","source":"Crossref","is-referenced-by-count":1,"title":["A case of gonococcal necrotising fasciitis"],"prefix":"10.1071","volume":"11","author":[{"given":"Kudzai Nzenza","family":"Kanhutu","sequence":"first","affiliation":[{"name":"ADepartment of Infectious Diseases, The Alfred Hospital, 55 Commercial Road, Melbourne, Vic. 3004, Australia."},{"name":"DCorresponding author. Email: kudzaikanhutu@gmail.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denis D.","family":"Spelman","sequence":"additional","affiliation":[{"name":"BDepartment of Microbiology, The Alfred Hospital, 55 Commercial Road, Melbourne, Vic. 3004, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael D.","family":"Weymouth","sequence":"additional","affiliation":[{"name":"CPlastic, Hand and Facio-Maxillary Surgery Unit, The Alfred Hospital, 55 Commercial Road, Melbourne, Vic. 3004, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2014,7,24]]},"reference":[{"key":"2025102617102861200_R1","unstructured":"World Health Organization (WHO), Department of Reproductive Health and Research. Global action plan to control the spread and impact of antimicrobial resistance in Neisseria gonorrhoeae. Geneva: WHO; 2012. Available online at: http:\/\/www.who.int\/reproductivehealth\/publications\/rtis\/9789241503501\/en\/ [verified 16 June 2014]."},{"key":"2025102617102861200_R2","doi-asserted-by":"publisher","first-page":"861","DOI":"10.1093\/clinids\/22.5.861","article-title":"Pyomyositis as the sole manifestation of disseminated gonococcal infection: case report and review.","volume":"22","author":"Haugh","year":"1996","journal-title":"Clin Infect Dis"},{"key":"2025102617102861200_R3","first-page":"1188","article-title":"Disseminated gonococcal infection.","volume":"126","author":"Bowers","year":"1982","journal-title":"Can Med J"},{"key":"2025102617102861200_R4"},{"issue":"3","key":"2025102617102861200_R5","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1001\/jama.1981.03320030038025","article-title":"Gonococcal pyomyositis.","volume":"246","author":"Swarts","year":"1981","journal-title":"JAMA"},{"key":"2025102617102861200_R6","first-page":"790478","article-title":"Gonococcal Subcutaneous abscess and pyomyositis: a case report.","volume":"2012","author":"Jitmuang","year":"2012","journal-title":"Case Rep Infect Dis"},{"key":"2025102617102861200_R7","doi-asserted-by":"publisher","first-page":"1573","DOI":"10.1136\/bmj.317.7172.1573","article-title":"ABC of sexual health.","volume":"317","author":"Tomlinson","year":"1998","journal-title":"BMJ"},{"issue":"Suppl","key":"2025102617102861200_R8","first-page":"S71","article-title":"Barriers to sexual history taking in general practice.","volume":"25","author":"Temple-Smith","year":"1996","journal-title":"Aust Fam Physician"},{"key":"2025102617102861200_R9","unstructured":"Kidd S, Trees D, Shapiro SJ. Cephalosporin resistant Neisseria gonorrhoeae public health response plan. Atlanta: Centers for Disease Control and Prevention; 2012. Available online at: http:\/\/www.cdc.gov\/std\/treatment\/ceph-r-responseplanjuly30-2012.pdf [verified 16 June 2014]."},{"key":"2025102617102861200_R10","unstructured":"World Health Organization (WHO). WHO press release: urgent action needed to prevent the spread of untreatable gonorrhoea. Geneva: WHO; 2012. Available online at: http:\/\/www.who.int\/mediacentre\/news\/notes\/2012\/gonorrhoea_20120606\/en\/ [verified 16 June 2014]."},{"key":"2025102617102861200_R11"},{"key":"2025102617102861200_R12","first-page":"S37","article-title":"Sexually transmitted diseases treatment guidelines, 1982.","volume":"31","author":"Centers for Disease Control and Prevention","year":"1982","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025102617102861200_R13","unstructured":"Centers for Disease Control and Prevention (CDC). STD treatment guidelines, 2010. Atlanta: CDC; 2010. Available online at: http:\/\/www.cdc.gov\/std\/treatment\/2010\/default.htm [verified 16 June 2014]."},{"key":"2025102617102861200_R14","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1258\/ijsa.2011.011267","article-title":"UK national guideline for the management of gonorrhoea in adults, 2011.","volume":"22","author":"Bignell","year":"2011","journal-title":"Int J STD AIDS"},{"key":"2025102617102861200_R15","first-page":"590","article-title":"Update to CDC\u2019s Sexually transmitted diseases treatment guidelines, 2010: oral cephalosporins no longer a recommended treatment for gonococcal infections.","volume":"61","author":"Centers for Disease Control and Prevention (CDC)","year":"2012","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025102617102861200_R16","doi-asserted-by":"publisher","first-page":"3603","DOI":"10.1128\/AAC.00326-12","article-title":"In vitro activity of ertapenem versus ceftriaxone against Neisseria gonorrhoeae isolates with highly diverse ceftriaxone MIC values and effects of ceftriaxone resistance determinants: ertapenem for treatment of gonorrhoea?","volume":"56","author":"Unemo","year":"2012","journal-title":"Antimicrob Agents Chemother"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/11\/3\/280\/1254976\/sh14027.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/11\/3\/280\/1254976\/sh14027.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:10:32Z","timestamp":1761513032000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/11\/3\/280\/184932\/A-case-of-gonococcal-necrotising-fasciitis"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,7,24]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,7,28]]}},"URL":"https:\/\/doi.org\/10.1071\/sh14027","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"type":"print","value":"1448-5028"},{"type":"electronic","value":"1449-8987"}],"subject":[],"published":{"date-parts":[[2014,7,24]]}}}