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