Syndrome d’arthrite-dermatite gonococcique

Maubeuge, J. De; Clumeck, Nathan; Unger, Jonathan; Dobbeleer, Gilbert De; Bougaenko, A.

doi:10.1159/000249968

Cited by 3 publications

(1 citation statement)

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“…As a rule, during the initial stage of joint involvement effusion is too scanty to be aspirated, and even if aspiration is possible culture remains negative for Neisseria go norrhoeae; blood cultures, however, are pos itive in this period. After the 4th day the si tuation changes and blood cultures are nega tive while joint aspirates can become posi tive [11], Should synovial effusion therefore in general be examined for Neisseria gonor rhoeae as well as genital discharge and blood as it is often recommended [1,14]? The an swer has to be based on the probability of positive results, which amounts, as table I shows, to no more than about 30%.…”

Section: Discussionmentioning

confidence: 99%

Cultural Proof of <i>Neisseria gonorrhoeae </i>in Synovial Fluid in Disseminated Gonococcal Infection

Hc¹,

Abeck²,

Neubert³

1983

Dermatology

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Disseminated gonococcal infection is not too rare, and joint involvement is one of its prominent features. Although diagnosis in general is based on clinical findings and microbiological examination of the genitals and sometimes blood, there are cases in which exact diagnosis can only be made after the investigation of synovial effusion. An observation of this kind is presented, and the general value of the aspiration of synovial fluid in disseminated gonococcal infection is discussed. Special interest is also given to the possible coincidence of disseminated gonococcal infection and other sexually transmitted diseases as for example trichomoniasis, both of which were found in our case.

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Section: Discussionmentioning

confidence: 99%