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Gonococcal arthritis (disseminated gonococcal infection).
Infect Dis Clin North Am. 2005 Dec; 19(4):853-61.ID

Abstract

Septic arthritis caused by N gonorrhoeae is monoarticular or pauciarticular, and is more commonly associated with positive synovial fluid cultures and negative blood cultures. Gonococcal bacteremia is more likely to be associated with polyarthralgias and skin lesions. The diagnosis of gonococcal arthritis or DGI is also secure if a mucosal gonococcal infection is documented in the presence of a typical clinical syndrome that responds promptly to appropriate antimicrobial therapy. Hospitalization is indicated in patients with suppurative arthritis or when the diagnosis is in doubt. Initial treatment with ceftriaxone or another advanced-generation cephalosporin is warranted until signs and symptoms have improved; continuation of treatment for a total period of therapy of 1 week can be accomplished with a fluoroquinolone.

Authors+Show Affiliations

Division of Infectious Diseases and Immunology, University of Massachusetts Medical School, Lazare Research Building (LRB), Room 321, Worcester, MA 01605, USA. peter.rice@umassmed.edu

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Review

Language

eng

PubMed ID

16297736

Citation

Rice, Peter A.. "Gonococcal Arthritis (disseminated Gonococcal Infection)." Infectious Disease Clinics of North America, vol. 19, no. 4, 2005, pp. 853-61.
Rice PA. Gonococcal arthritis (disseminated gonococcal infection). Infect Dis Clin North Am. 2005;19(4):853-61.
Rice, P. A. (2005). Gonococcal arthritis (disseminated gonococcal infection). Infectious Disease Clinics of North America, 19(4), 853-61.
Rice PA. Gonococcal Arthritis (disseminated Gonococcal Infection). Infect Dis Clin North Am. 2005;19(4):853-61. PubMed PMID: 16297736.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gonococcal arthritis (disseminated gonococcal infection). A1 - Rice,Peter A, PY - 2005/11/22/pubmed PY - 2006/3/8/medline PY - 2005/11/22/entrez SP - 853 EP - 61 JF - Infectious disease clinics of North America JO - Infect. Dis. Clin. North Am. VL - 19 IS - 4 N2 - Septic arthritis caused by N gonorrhoeae is monoarticular or pauciarticular, and is more commonly associated with positive synovial fluid cultures and negative blood cultures. Gonococcal bacteremia is more likely to be associated with polyarthralgias and skin lesions. The diagnosis of gonococcal arthritis or DGI is also secure if a mucosal gonococcal infection is documented in the presence of a typical clinical syndrome that responds promptly to appropriate antimicrobial therapy. Hospitalization is indicated in patients with suppurative arthritis or when the diagnosis is in doubt. Initial treatment with ceftriaxone or another advanced-generation cephalosporin is warranted until signs and symptoms have improved; continuation of treatment for a total period of therapy of 1 week can be accomplished with a fluoroquinolone. SN - 0891-5520 UR - https://www.unboundmedicine.com/medline/citation/16297736/Gonococcal_arthritis__disseminated_gonococcal_infection__ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0891-5520(05)00068-1 DB - PRIME DP - Unbound Medicine ER -