title: Shoulder pain: a presentation of bilateral gonococcal arthritis of the shoulders.
abstract: This is a report of a 47-year-old man presenting to the Emergency Department complaining of bilateral shoulder pain after developing pain in the right shoulder about 1(1/2)-2 weeks prior after heavy lifting while at work. Clinical suspicion of Gonococcal arthritis was confirmed on the basis of laboratory studies. Although Gonococcal arthritis is occasionally associated with uniarticular arthritis, this patient presented with bilateral joint involvement.
authors.affiliation: Division of Emergency Medicine, University of Texas Southwestern Medical Center and the Parkland Health & Hospital System, Dallas, Texas 75390-8579, USA.
authors.forename: Ajay
authors.initials: A
authors.lastname: Yadav
authors.forename: Shameem R
authors.initials: SR
authors.lastname: Nazeer
authors.forename: Michael P
authors.initials: MP
authors.lastname: Wainscott
authors.forename: Adam H
authors.initials: AH
authors.lastname: Miller
mesh_terms: D001170:Arthritis, Infectious / Q000175:diagnosis / Q000382:microbiology*; D015658:HIV Infections / Q000150:complications; D019698:Hepatitis C, Chronic / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*; D016870:Neisseriaceae Infections / Q000175:diagnosis*; D015819:Substance Abuse, Intravenous / Q000150:complications; D013582:Synovial Fluid / Q000382:microbiology