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Gonococcal arthritis

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Gonoccocal arthritis

Gonoccocal arthritis

Chondromalacia of the patella

Chondromalacia of the patella

Gonococcal arthritis

Alternative Names:

Disseminated gonococcal infection (DGI)
Symptoms:

Migrating joint pain for 1 to 4 days (polyarthralgia)
Pain in the hands/wrists due to tendon inflammation (tenosynovitis)
Single joint pain
Fever
Skin rash (lesions are flat, pink to red, may become pustular or purpuric)
Pain or burning on urination
Lower abdominal pain

Signs and tests:

Positive cervical Gram stain (positive for gonococci)
Urethral culture for gonorrhea in men
Cervical culture for gonorrhea in women
Rectal culture for gonorrhea in men and women
Throat culture for gonorrhea
Joint fluid Gram stain
Synovial fluid culture for gonorrhea (culture of joint aspirate)
Blood cultures should be checked in all cases of possible gonococcal arthritis

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