“…Most authors have accepted a gonococcal aetiology of joint complications associated with urethral discharge only when Neisseria gonorrhoeae are found in the synovial fluid and/or in the peripheral blood or when there is a dramatic improvement within 2-3 days of penicillin administration (Harkness, 1949;Ford, 1953;Czonka, 1959;Wright, 1963;Brandt et al, 1974). Aseptic penicillin-insensitive arthritis after gonorrhoea has, especially in the Anglo-American literature, been interpreted as a Reiter variant (Ford, 1961).…”