suMMARY Neisseria meningitidis was recovered from the urethra of nine and from the anal canal of seven men, and from the cervix of two women. Twelve of the 16 men were admitted homosexuals. Seven men had no symptoms, while the remainder had mild to moderate symptoms. One woman was asymptomatic and the other was in hospital with acute salpingitis. Reports of previous isolations of meningococci from the urethra, cervix, or anal canal are reviewed. It is concluded that in men, these infections are usually mild and self-limited, but in women, meningococcal genital infections frequently proceed to severe disease.
Acquired hallux varus secondary to traumatic disruption of the lateral joint structures of the 1st MTPJ is uncommon and has only been reported in the literature once previously.(4) We present a case of traumatic hallux varus that is unique since the deformity is dynamic in nature. In our patient the hallux remained reduced on standing weight bearing films, and luxated only during fluoroscopic stress testing. We also describe our surgical correction where a soft tissue anchor alone was utilized to stabilize the joint through repair of the lateral capsule and collateral ligament. One year following the described repair the patient reports no limitations in performing activities of daily living, and complains of only mild pain with recreational activities.
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