II. Presentations

  1. Suppurative Monoarticular Arthritis
  2. Bacteremia Classic Triad (See Gonorrhea)
    1. Polyarthralgia
    2. Tenosynovitis
    3. Dermatitis

III. Signs

  1. Joints affected in order of involvement
    1. Knees (Most often involved)
    2. Elbows
    3. Ankles
    4. Wrists
    5. Hands or feet
  2. Rarely affected joints
    1. Shoulders
    2. Hips

IV. Labs: Arthrocentesis for Synovial Fluid

  1. Clear to opaque Synovial Fluid
  2. Synovial Fluid WBC: 30,000 to 100,000 (>80% PMNs)
  3. Gram Stain Positive in <25% of cases
  4. Culture positive in <50% of cases

V. Management

  1. Antibiotic management should be based on culture
  2. Parenteral antibiotics (may require 10 days)
    1. Rocephin
    2. Doxycycline (or Spectinomycin in pregnancy)
  3. Continue IV antibiotics until clinical improvement

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Ontology: Gonococcal joint infection (C0153216)

Concepts Disease or Syndrome (T047)
ICD9 098.50, 098.5
ICD10 A54.42
SnomedCT 186930001, 266139005, 186926004, 44743006
English Gonococcal joint infection NOS, GONOCOCCAL ARTHRITIS, gonococcal infection of a joint, gonococcal infection of joint (diagnosis), gonococcal infection of joint, Gonococcal joint infection, Arthritis gonococcal, gonococcal arthritis, Gonococcal: [joint infection NOS] or [rheumatism], Gonococcal: [joint infection NOS] or [rheumatism] (disorder), Rheumatism - gonococcal, Gonococcal joint infection NOS (disorder), Gonococcal arthritis (disorder), Gonococcal arthritis, Gonococcal infection of joint, Gonococcal rheumatism, Gonococcal infection of joint (disorder), Gonococcal infection of joint, NOS, Gonococcal infection of joint NOS
Italian Artrite gonococcica, Infezione gonococcica delle articolazioni
Dutch gonokokkeninfectie van gewricht, gonokokkenartritis
German Gelenkinfektion infolge Gonokokken, Arthritis infolge Gonokokken, Arthritis durch Gonokokken
Portuguese Infecção gonocócica articular, Artrite gonocócica
Spanish Infección gonocócica articular, infección gonocócica articular, SAI, infección gonocócica articular, SAI (trastorno), artritis gonocócica, infección articular gonocócica (trastorno), infección articular gonocócica, infección gonocócica de la articulación, reumatismo gonocócico, Artritis gonocócica
Japanese 淋菌性関節炎, 関節の淋菌感染, リンキンセイカンセツエン, カンセツノリンキンカンセン
French Infection gonococcique d'une articulation, Arthrite gonococcique
Czech Gonokoková artritida, Gonokoková infekce kloubu
Hungarian gonococcalis arthritis, ízület gonococcalis fertőzése