Gonococcemia (disseminated)

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Circulatory system

Gonococcal bacteremia

• Fever
• Chills, malaise
• Joint pain , either single or multiple joints (knee pain, wrist pain, ankle pain)
• Joint swelling (knees, wrists, ankles)
• Skin rash: begins as flat, pink-to-red spots that evolve into raised, pus-filled bumps
• Painful tendons of wrists or heels
• A combination of skin rash and aching, swollen tendons -- sometimes known as tenosynovitis-dermatitis syndrome

• Blood culture
• Skin lesion culture
• Culture of synovial fluid from joints
• Urethral discharge culture
• Culture from endocervix
• Throat culture
• Anal culture

Review Date: 06/15/2005
Reviewed By: Monica Gandhi, MD, MPH, Assistant Professor, Division of Infectious Diseases, UCSF, San Francisco, CA. Review provided by VeriMed Healthcare Network.