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disseminated gonococcal infection |
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disseminated gonococcal infection STD A form of N gonorrhoeae infection affecting ±3% of Pts; it is 4-fold more common in ♀, especially during pregnancy and perimenstrual period Clinical Classic triad–dermatitis,
tenosynovitis, migratory polyarthralgia; DGI follows mucosal infection–eg, genitourinary tract, rectum, oropharynx Clinical forms 1. Arthritis-dermatitis syndrome–tenosynovitis with skin rash and fever, often positive blood culture,
asymmetric polyarthralgia;1/4 have monoarthralgia Sites Knee, elbow, wrist, metacarpophalangeal, ankle joints 2. Suppurative/septic arthritis–±1/3 of Pts, synovial fluid PMNs at
50,000–200,000 cells/mm3, maculopapular, pustular, vesicular or necrotic rash, often of torso, limbs, palms, soles; tenosynovitis in2/3 of Pts typically of hands and fingers; rarely, DGI causes pericarditis, endocarditis,
meningitis, death. See Neisseria gonorrhoeae. How to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit webmaster's page for free fun content. |
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