Gonococcal arthritis is a rare complication of the sexually transmitted disease gonorrhea that causes painful inflammation of the joints and tissues. It is caused by the bacterium Neisseria gonorrhoeae and can be transmitted during childbirth if the mother is infected or through multiple sexual partners and unsafe sex practices. Symptoms include red, swollen, tender and painful joints with limited range of motion, as well as fever and skin lesions. Diagnosis involves testing throat cultures, cervical smears, urine analysis and blood work, while treatment consists of draining fluid from infected joints, using splints for immobilization, and administering antibiotics like ceftriaxone and azithromycin or doxycycline.

1. GONOCOCCAL
ARTHRITIS
MR. KuSH JOSHI

2. DEFINATION
Gonococcal arthritis is rare
complication of the sexually transmitted disease
gonorrhoea. It generally causes painful
inflammation of the joints and tissues. Gonorrhoea
is usually spread through sexual contact.

3. Etiological factors
◦ Gonorrhoea is caused by a bacterium called
Neisseria gonorrhea.
◦ Babies can also get gonorrhoea during
childbirth if their mothers are infected
◦ other risk factors include:- multiple sexual
partners, unsafe sex etc..

4. Clinical manifestations
◦ Red and swollen joints
◦Tender and painful joints
◦ Restricted joints range of motion
◦Fever with chills
◦ skin lesions

5. Diagnostic evaluation
◦ History collection and physical examination
◦ Throat culture test
◦ cervical gram stain
◦ urinalysis
◦ complete blood counts/ blood studies

6. Management
◦ Draining fluid out of the joints and immobilizing it
with splints to reduce swelling and pain.
◦ Antibiotics therapy
◦ Ceftriaxone 250 mg ( IV)
◦ 1 gm azithromycin or 100 mg doxycycline twice
a day for 7 to 10 days.

7. THANK yOu…