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Wednesday, 12 October 2011

Gonococcal arthritis

- commonest cause of septic arthritis in previously young fit adult
- more common in females and homosexual men
- presents with fever, characteristic rash/pustules, polyarthralgia and tenosynovitis, followed by large joint monoarticular arthritis.
- treatment: IV ceftriaxone, examination of joint and washout under anaesthesia

2 comments:

melody said...

How come gonococcus is gran negative intracellular diplococci treated w penicillin???

KIM, ALEX said...

Neisseria gonorrhea has cell wall. Penicillin inhibits cell wall synthesis. In view of resistance, ceftriaxone is currently used for treatment.