[Arthritis without urethritis: remember gonococcus].
BACKGROUND
Septic arthritis caused by Neisseria gonorrhoeae is mono or pauciarticular. They represent a nonrare cause of arthritis in sexually active adults. He is necessary to think of it even in the absence of urethritis.


METHODS
We report the case of gonococcal arthritis without urethritis in a young man associated with positive synovial fluid culture and negative blood cultures.


CONCLUSIONS
Prompt recognition and treatment of this disease results in cure without aftereffects. The finding of penicillin-resistant organisms reinforces recent recommendations that advanced-generation cephalosporin must be used as initial therapy.
Le Berre
J-P
JP
Service de Rhumatologie, Hôpital d'Instruction des Armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France. mjpleberre@cfibre.fr
Samy
J
J
Garrabé
E
E
Imbert
I
I
Magnin
J
J
Lechevalier
D
D
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D002443:Ceftriaxone / Q000627:therapeutic use; D006069:Gonorrhea / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D013582:Synovial Fluid / Q000382:microbiology
D000900:Anti-Bacterial Agents; D002443:Ceftriaxone