{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:46:18Z","timestamp":1777927578380,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2026,5]]},"abstract":"\n Third-degree atrioventricular (AV) block is characterised by complete dissociation between atrial and ventricular activity. It is commonly caused by degenerative conduction disease, ischaemia, medications, or in this case \u2013 an infective process. We report a rare case of third-degree AV block caused by disseminated gonococcal infection (DGI). Rates of\n Neisseria gonorrhoeae<\/jats:italic>\n are increasing, and DGI remains an important but often under-recognised complication. While DGI typically presents with tenosynovitis, polyarthralgia, and skin lesions - cardiac involvement is uncommon. A 36-year-old cis-male who has sex with men presented with polyarthralgia, tenosynovitis, maculopapular rash, and exertional dyspnoea. Electrocardiogram (ECG) demonstrated third-degree AV block. Mucosal swabs were positive for\n N. gonorrhoeae<\/jats:italic>\n at both rectal\n and<\/jats:italic>\n pharyngeal sites, though blood cultures were likely negative due to prior antibiotic usage before obtaining cultures. Cardiac imaging showed no structural abnormality or evidence of endocarditis. In the absence of an alternative cause, a diagnosis of presumptive DGI was made. After treatment with intravenous ceftriaxone for seven\u00a0days, cardiac conduction normalised. Follow-up ECG and cardiac magnetic resonance imaging (MRI) at later time points confirmed complete recovery. This case highlights a novel cardiac manifestation of DGI and reinforces the importance of recognising systemic complications of gonorrhoea.\n <\/jats:p>","DOI":"10.1177\/09564624261418079","type":"journal-article","created":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T07:08:46Z","timestamp":1769843326000},"page":"674-677","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Third-degree atrioventricular block as a rare complication of disseminated gonococcal infection (DGI): A case report"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0931-3612","authenticated-orcid":false,"given":"Jonathan Joseph","family":"Goodfellow","sequence":"first","affiliation":[{"name":"Chelsea and Westminster Hospital NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Hendy","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Temple","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack W.","family":"Samways","sequence":"additional","affiliation":[{"name":"National Heart and Lung Institute, Faculty of Medicine, Imperial College London, Hammersmith Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Tittle","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Sexually transmitted infections and screening for chlamydia in England, 2024: official statistics","author":"UK Health Security Agency","year":"2025","unstructured":"UK Health Security Agency. Sexually transmitted infections and screening for chlamydia in England, 2024: official statistics. UKHSA, 2025."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/09564624251345195"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1521-6942(02)00125-0"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.disamonth.2016.03.009"},{"key":"e_1_3_3_6_2","first-page":"385126","article-title":"Acute myopericarditis likely secondary to disseminated gonococcal infection","volume":"2015","author":"Bunker D","year":"2015","unstructured":"Bunker D, Kerr LD. Acute myopericarditis likely secondary to disseminated gonococcal infection. Case Rep Infect Dis 2015; 2015: 385126.","journal-title":"Case Rep Infect Dis"},{"issue":"9","key":"e_1_3_3_7_2","first-page":"e44890","article-title":"An evasive case of gonococcal endocarditis","volume":"15","author":"Butler WN","year":"2023","unstructured":"Butler WN, Stephenson C, Young BD, et al. An evasive case of gonococcal endocarditis. Cureus 2023; 15(9): e44890.","journal-title":"Cureus"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.2003.015628"},{"issue":"2","key":"e_1_3_3_9_2","first-page":"47","article-title":"Gonococcal endocarditis: the gift that stops giving! An uncommon presentation of a common disease","volume":"169","author":"Olayemi G","year":"2017","unstructured":"Olayemi G, Oferczak M, Elagizi A, et al. Gonococcal endocarditis: the gift that stops giving! An uncommon presentation of a common disease. J La State Med Soc 2017; 169(2): 47.","journal-title":"J La State Med Soc"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2012.03489.x"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-198311000-00005"},{"issue":"13","key":"e_1_3_3_12_2","article-title":"Disseminated gonococcal infection in England, 2019\u20132023: data from voluntary reporting","volume":"17","author":"Yung M","year":"2023","unstructured":"Yung M, Pitt R, Day M, et al. Disseminated gonococcal infection in England, 2019\u20132023: data from voluntary reporting. Health Prot Rep. 2023; 17(13). https:\/\/www.gov.uk\/government\/publications\/disseminated-gonococcal-infection-dgi-in-england\/disseminated-gonococcal-infection-in-england-2019-to-2023-data-from-voluntary-reporting#ref5.","journal-title":"Health Prot Rep"},{"key":"e_1_3_3_13_2","unstructured":"Department of Health & Social Care. JCVI advice on the use of meningococcal B vaccination for the prevention of gonorrhoea. GOV.UK. Published 10 November 2023."}],"container-title":["International Journal of STD & AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624261418079","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09564624261418079","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624261418079","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:47:34Z","timestamp":1777675654000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09564624261418079"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,30]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/09564624261418079"],"URL":"https:\/\/doi.org\/10.1177\/09564624261418079","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,30]]}}}