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  • Title: An unusual case of gonococcal arthritis of the finger.
    Author: Thomas SB, Unglaub F, Dragu A, Gessner A, Horch RE.
    Journal: Arch Orthop Trauma Surg; 2009 Oct; 129(10):1335-8. PubMed ID: 18719929.
    Abstract:
    Gonococcal arthritis is the most common acute septic arthritis in sexually active young adults. It is caused by the gram-negative diplococcus Neisseria gonorrhoeae. In 0.5-3% an untreated mucosal infection disseminates throughout the system and affects mostly big joints like the knee, elbows, and ankles. N. gonorrhoeae is a fragile microorganism which is difficult to culture. Penicillin resistance has developed worldwide in recent years, therefore, patients should be treated by a third generation Cephalosporin. In this article, we describe the unexpected finding of septic arthritis in the proximal interphalangeal joint of a 50-year-old patient. The septic arthritis was caused by N. gonorrhoeae.
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