Although most cases of gonorrhea are localized, approximately 0.5–3% become disseminated. CDC has created the DGI Case Report Form and REDCap Survey, which state and local health Gonococcal arthritis is a rare complication of the sexually transmitted infection (STI) gonorrhea. Gonorrhea, colloquially known as the clap, is a sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoeae. A 20-year-old woman in the U.S. visited the emergency room after developing a rash all over her hands, arms, legs, trunk, and scalp. Disseminated gonococcal infection (DGI) is a common cause of acute polyarthralgias, polyarthritis, or oligoarthritis in healthy young patients. It causes the sexually transmitted genitourinary infection gonorrhea as well as other forms of gonococcal disease including disseminated gonococcemia, septic arthritis, and gonococcal ophthalmia neonatorum. 2017 Jan 15;23(1) Metcalfe R, Reed M, Winter A. The most common presentation of disseminated gonococcal infection (DGI) is acute arthritis, tenosyovitis, and dermatitis (Arthritis-Dermatitis Syndrome). … Definition: Gonococcal arthritis is inflammation of a joint due to a gonorrhea infection.. Gonococcal arthritis is a type of septic arthritis.This is inflammation of a joint due to a bacterial or fungal infection. Reiter's syndrome, which sometimes follows chlamydia, can cause a rash. Having gonorrhea makes you more susceptible to infection with human immunodeficiency virus (HIV), the virus that leads to AIDS. Follow-up evaluation of this patient's lymphocytes by flow cytometry suggests that he may have an underlying, thus far unidentified, primary immune deficiency. Gonorrhea, caused by N. gonorrhoeae, a gram-negative diplococcus, is the second most commonly reported sexually transmitted disease in the United States after chlamydia. The classic skin lesion of DGI is described as a tender, necrotic pustule on an erythematous base affecting the distal portions of extremities – however skin lesions in DGI can vary greatly in presentation. The lower incidence of DGI is caused by a lower prevalence of gonococcal strains able to enter the bloodstream and survive, going on to seed joint, tendon sheath, skin, and other tissues. Gonorrhea is one of the most common sexually transmitted diseases in the US with 700,000 annual cases. disseminated gonococcal infection: infection from Neisseria gonorrhoeae , which is spread to distant parts of the body beyond the original portal of entry (usually the lower genital tract). N gonorrhoeae is spread by sexual contact or through transmission during childbirth. Disseminated disease affects up to 3% of individuals with gonorrhea [1] and develops within 2 to 3 weeks after a primary genital infection [2]. Back to conditions. Physical examination showed a temperature of 39.4°C (103°F) and a rash (Panels B and C) that was composed of both macular lesions (arrows) and pustular lesions (arrowheads). Beatrous SV, Grisoli SB, Riahi RR, Matherne RJ, Matherne RJ. Disseminated Gonococcal Infection Case Reporting CDC has received increasing reports of disseminated gonococcal infection (DGI), an uncommon, but severe, complication of untreated gonorrhea. Inflamed tendons. While in the ED, AB is treated with oral azithromycin, oral metronidazole, and I.V. Usually manifest by rash and arthritis. People who have both gonorrhea and HIV are able to pass both diseases more readily to their partners. ceftriaxone and metronidazole BID for 6 more days. About. Gonorrhea is a common sexually transmitted infection (STI), and it can pass on during any kind of sexual contact. Fever, rash, skin sores, joint pain, swelling and stiffness are possible results. This STI is transmitted during vaginal, oral, or anal sex with an infected person. Gonococcal Infections in Adolescents and Adults. When gonorrhea infection spreads to other organs and sites in the body, the disease is referred as disseminated gonococcal infection. Disseminated gonococcal infection (DGI) occurs when the gonorrhea infection spreads to other parts of the body. Here we discuss a rare case of a patient with systemic lupus erythematosus (SLE) who developed septic shock from disseminated gonorrhea infection (DGI). Disseminated gonococcemia generally follows the primary genital infection with gonorrhea by several days to 2 weeks. Gonorrhea can also be transmitted during childbirth. He has no other past medical history, denies intravenous drug abuse, and has had no sick contacts. Joint pain or arthritis. About. Disseminated Gonorrhea (tendonitis) History of at-risk sex; but often no STD Sx. Home > Gonorrhea, disseminated. Here we discuss a rare case of a patient with systemic lupus erythematosus (SLE) who developed septic shock from disseminated gonorrhea infection (DGI). Stephanie Florez-Pollack, B.S., and Melissa M. Mauskar, M.D. Although most cases of gonorrhea are localized, approximately 0.5–3% become disseminated. Multiple unprotected sexual partners is a risk factor. Gonorrhea is a purulent infection of the mucous membrane surfaces caused by Neisseria gonorrhoeae. Disseminated gonococcal infection (DGI) is seen in about 0.5 – 3% of patients with Neisseria gonorrhoeae. Gonococcal arthritis is a rare disorder. Gonorrhea can cause a rash if left untreated (disseminated gonorrhea). The clinical picture of gonococcemia will typically feature a rash , polyarthralgia, and tenosynovitis [3], although not all three have to be present for the diagnosis. Gonorrhea in children older than newborns is almost always a sign of sexual abuse. It is caused by gram negative gonococcus bacteria. 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