Acute Human Immunodeficiency Virus Infection Presenting as Disseminated Gonococcal Infection

Offer Amir, MD, Vinh D. Nguyen, MD, Ben J. Barnett, MD


South Med J. 2003;96(3) 

In This Article


Gonorrhea is a common sexually transmitted disease that may cause a disseminated infection. We present a case of disseminated gonococcal infection (DGI) associated with acute human immunodeficiency virus (HIV) infection. To our knowledge, this is the first report in the literature of this codiagnosis, but it may represent an underdiagnosed problem. An increasing amount of data shows a significant immunologic benefit of early antiretroviral treatment in patients with acute HIV infection before seroconversion. The possibility of acute HIV infection should be considered in patients who present with another sexually transmitted disease (STD) such as gonorrhea, because these diseases can be transmitted together in a single sexual exposure.