Fam A, McGillivray D, Stein J, Little H
Can Med Assoc J. 1973 Feb 3;108(3):319-25.
Six cases of gonococcal arthritis are described. Three presented during the initial "bacteremic stage" with polyarthralgia, fever, skin lesions and sterile synovial fluid. Two presented during the "septic joint stage" with positive synovial culture, and one presented during the "stage of residual deformity". Transient electrocardiographic changes were noted in two of the six cases. All responded to antibiotic therapy. One required additional surgical intervention.The condition is common, coinciding with the rising incidence of symptomatic and asymptomatic gonorrhea. Gonococcal infection must be considered in the differential diagnosis of migratory polyarthralgia, tenosynovitis, oligoarthritis, fever or unusual skin lesions. Criteria for diagnosis, lines of treatment and relevant literature are reviewed.
本文描述了6例淋菌性关节炎病例。3例在初始“菌血症期”出现，伴有多关节痛、发热、皮肤病变和无菌性滑液。2例在“化脓性关节期”出现，滑液培养呈阳性，1例在“残留畸形期”出现。6例中有2例出现短暂的心电图改变。所有病例对抗生素治疗均有反应。1例需要额外的手术干预。这种疾病很常见，与有症状和无症状淋病发病率的上升相吻合。在游走性多关节痛、腱鞘炎、少关节炎、发热或不寻常皮肤病变的鉴别诊断中必须考虑淋菌感染。本文回顾了诊断标准、治疗方法及相关文献。
