Disseminated gonococcial infection (DGI)

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

labimaging

Cultures from mucosal sites

conventional treatment

IV ceftriaxone

complications

prevention

protocols