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

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2 comments:

  1. melody12 October 2011 at 18:00

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

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  2. KIM, ALEX13 October 2011 at 00:19

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

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