Arthritis gonococcal

In 0.5% to 3.0% of patients with gonorrhea, the gonococci invade the bloodstream and produce disseminated disease. The usual clinical manifestations of disseminated gonococcal infection are tender necrotic skin lesions, tenosynovitis, and monoarticular arthritis. 

Disseminated gonococcal infections (eg, meningitis, endocarditis, arthritis)... 

L20. Ludvico, C. L., and Myers, A. R., Survey for immune complexes in disseminated gonococcal arthritis dermatitis syndrome. Arthritis Rheum. 22, 19-24 (1979). 

M3. Manicourt, D. H., and Orloff, S., Gonococcal arthritis-dermatitis syndrome. Study of serum and synovial fluid immune complex levels. Arthritis Rheum. 25, 574-578 (1982). 

Needle aspiration of joint Gram-stain diagnostic in 30-50% of cases. Synovial fluid cultures are positive in 60-80% of cases. Synovial fluid differential reveals 90% polymorphonuclear leukocytes. Synovial fluid glucose decreased relative to serum glucose. Lactic acid levels elevated in nongonococcal infectious arthritis but not in gonococcal infectious arthritis... 

Cucurull E, Expinoza LR. Gonococcal arthritis. Rheum Dis Clin North Am 1998 24 305-322. 

Angulo JM, Espinoza LR. Gonococcal arthritis. Compr Ther 1999 25 155-162. 

Radiol Clin North Am 37 669-678 Craig JG, Jacobson JA,Moed BR (1999) Ultrasound of fractures and bone healing. Radiol Clin North Am 37 737-751 Craig JG, van Holsbeeck M, Alva M (2003) Gonococcal arthritis of the shoulder and septic extensor tenosynovitis of the wrist sonographic appearances. J Ultrasound Med 22 221-224... 

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