Disseminated gonococcal infection results from the spread through blood circulation of the bacterium Neisseria gonorrhoeae. It is considered a sexually transmitted infection.
It initially infects the mucosa of the urethra, uterus, rectum or mouth, and from there, it passes into the bloodstream to infect the rest of the organs.
Predisposing to infection are: menstruation, pregnancy, recent childbirth, and sexual promiscuity. An increased incidence has been described in non-white, low socioeconomic status, homosexuals or in persons who habitually consume drugs.
It manifests with painful joint inflammation, tendon and skin inflammation. It is usually accompanied by fever, chills and general malaise.
The most affected joints are the knees, elbows, wrists and ankles. It is characteristic that it affects joints asymmetrically.
It is diagnosed by clinical history, complete physical examination and by blood and joint fluid cultures.
Treatment is based on intravenous antibiotherapy. Sexual partners of patients should receive the same treatment.
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