Infección gonocócica diseminada: otra gran simuladora

espanolLa gonorrea es una enfermedad de transmision sexual, que en la mayoria de los casos genera afectacion mucosa. En un bajo porcentaje, genera un cuadro que se conoce como infeccion gonococica diseminada. Su dificultad al momento del diagnostico se debe a la baja sensibilidad de los metodos complementarios y a su camaleonica presentacion clinica. Puede confundirse con distintas entidades, como sifilis, VIH, parvovirus B19 y enfermedades autoinflamatorias. Es importante tener en cuenta a la hora de realizar el tratamiento utilizar un esquema doble, con cobertura de germenes intracelulares como Chlamydia, ya que hasta en un 30% de los casos existe la confeccion por ambos germenes. Se decide presentar un caso clinico, que nos presento un desafio diagnostico por su heterogeneidad clinica, planteandonos multiples diagnosticos diferenciales hasta arribar al diagnostico de certeza. Por este motivo, creemos que es importante considerar a la infeccion gonococica diseminada como un diagnostico probable frente a casos clinicos de caracteristicas similares. EnglishGonorrhea is a sexually transmitted disease, which in most cases causes mucosal involvement. In a low percentage, it generates a picture known as disseminated gonococcal infection. Its difficulty at the time of diagnosis is due to the low sensitivity of the complementary methods and its chameleonic clinical presentation. It can be confused with different entities, such as syphilis, HIV, parvovirus B19 and autoinflammatory diseases. It is important to take into account when carrying out the treatment use a double scheme, with coverage of intracellular germs such as Chlamydia since up to 30% of cases there is preparation for both germs. It was decided to present a clinical case, which presented a diagnostic challenge due to its clinical heterogeneity, posing multiple differential diagnoses until arriving at the diagnosis of certainty. For this reason, we believe that it is important to consider disseminated gonococcal infection as a probable diagnosis in the face of clinical cases with similar characteristics.