Home Septic arthritis: Disseminated gonococcial infection (DGI)

Septic arthritis: Disseminated gonococcial infection (DGI)

Types

Defining Characteristics

Bactermic form:
Dermatitis that coincides w/ pustules/papules that are sometimes hemorrhagic; centrifugic distribution, fever, tenosynovitis, polyarthalgia/arthritis
Localized form:
purulent arthritis (1,2 joints)

Disease Development

Arthritis associated with gonococcal bacteremia

Potential Causes

Neisseria gonorrhoeae

Epidemiology

F>M
declining incidence

Risk factors

Sexually active young adult Timing associated with menses Pts w/ terminal complement deficiencies

Lab/Imaging

Cultures from mucosal sites

Conventional Treatment

IV ceftriaxone