Daily Bolus of LR: Gonococcal arthritis

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July 13, 2011 by dailybolusoflr

Gonococcal arthritis

 

·         Should be considered as a cause of septic arthritis in young patients who present with typically monoarticular and less commonly polyarticular arthritis

·         Most commonly affects the knee but can also affect wrists and ankles and the small bones of the hands and feet

·         When polyarthritis is present, typically it is asymmetric

·         Most patients are afebrile

·         Timing is often after menses in women

·         Specimens should be sent not only from the joint fluid, but also from the cervix, urethra and rectum as appropriate

·         Ceftriaxone 1g IV q 12-24 hours is the treatment; however co-treatment for Chlamydia is recommended

 

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