disseminated gonococcal infection


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disseminated gonococcal infection

infection from Neisseria gonorrhoeae, which is spread to distant parts of the body beyond the original portal of entry (usually the lower genital tract). Usually manifest by rash and arthritis.

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.
References in periodicals archive ?
The most common clinical manifestation of disseminated gonococcal infection was arthritis.
The authors were unable to document that disseminated gonococcal infection had any deleterious effect on the outcome of pregnancy among the patients studied.
The most common extra-pelvic manifestation of disseminated gonococcal infection is arthritis.
The second most common manifestation of disseminated gonococcal infection is dermatitis.
Disseminated gonococcal infection caused by Neisseria gonorrhoeae with unique nutritional requirements.
Pregnant women have been reported to be at higher risk of disseminated gonococcal infection, but there is evidence to the contrary.
Disseminated gonococcal infection follows a local infection approximately 1% to 3% of the time.
In summary, the case presented illustrates one aspect of the life-threatening nature of disseminated gonococcal infection.
This case demonstrates several aspects of disseminated gonococcal infections.
For those allergic to penicillins or cephalosporins, or for treatment of disseminated gonococcal infections, PID, and epididymitis, see www.

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