Disseminated Gonococcal Infection - Diagnosis and Management Summary



Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History of recent symptomatic genital infection is uncommon.



Laboratory Diagnosis:

• 2 sets of blood cultures should be obtained, along with antimicrobial susceptibility testing

 • (NAAT) Urethra, pharynx or rectum is the preferred test

 • Synovial fluid analysis in all patients with suspected DGl who have an accessible joint effusion

 • Laboratory testing of skin lesion samples is not typically part of the workup

 • Test all patients for HIV, Chlamydia and Syphilis





Arthritis-Dermatitis syndrome:

 • Fever, chills, generalized malaise

 • Polyarthralgia

 • Tenosynovitis

 • Dermatitis (Painless)

Purulent Arthritis Syndrome:

 • Most patients are afebrile 

 • Acute mono- or oligoarthritis

 • Distal joints, knees, wrists, ankles

 • Axial involvement is rare



By @TheIDtrivia



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