Thursday, May 28, 2009

Gonococcal Infection: a few syndromes



Pictured: Image from NEJM, a case of disseminated GC infection. Click here for the link. Note the tenosynovitis and 'countable' pustules.

Gonococcal Infection - syndromes:
  • Localised inflammation of involved mucous membrane: urethritis, vaginitis, pharyngitis, etc.
  • Pelvic inflammatory disease
  • Fitz-Hugh and Curtis syndrome: inflammation of the liver capsule, from direct extension of the organism in a patient with pelvic inflammatory disease.
  • Arthritis dermatitis syndrome: migratory arthralgia, tenosynovitis (Achilles, wrist,etc.), pustular lesions - usually not very many...they are "countable". Fever is common here.
  • Septic arthritis
  • Other very rare: meningitis, endocarditis

Link: updated treatment guidelines can be found here

5 comments:

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