Clinical presentation of disseminated gonococcal infection (not presented in FA or MMRS)
Purulent arthritis without skin lesions
OR
Triad of:
Tenosynovitis (eg, wrist, ankles, fingers & knees)
Dermatitis (pustules, maculas, papules & bullae)
Migratory asymmetric polyarthralgia without purulent arthritis
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Microbiology - Neisseria Gonorrhea (UW 3320)
Mobeen Syed, MD - 2018-09-17 18:25:07
UW 2239. Gonococcus and Chlymidia are the two most common causes of sexually transmitted epidedymitis (usually in young.)
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Microbiology - Neisseria Gonorrhea (UW 3320)
Mobeen Syed, MD - 2018-09-14 17:39:34
In the UW 4488 they say that with the gonococcal infection there can be a risk of HIV, Syphilis, Hepatitis B, and Chlymidial co-infections. |
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Microbiology - Neisseria Gonorrhea (UW 3320)
Mobeen Syed, MD - 2018-09-14 17:31:23
Blood cultures can frequently be negative. Use nucleic acid amplification testing. (This is also true for chlamydia, however, in gonococci blood culture can be positive.) |
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Microbiology - Neisseria Gonorrhea (UW 3320)
Mobeen Syed, MD - 2018-09-14 17:27:21
Treatment IV ceftriaxone 1 g/day for 7-14 days, switch to PO (cefixime) when clinically improved Joint drainage for purulent arthritis Treat sexual partner |
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Microbiology - Neisseria Gonorrhea (UW 3320)
Mobeen Syed, MD - 2018-09-14 17:26:14
Diagnosis Blood cultures (2 sets) but may be negative |