title: Gonococcal polyarthritis with sternoclavicular joint involvement in pregnant woman: a case report.
abstract: Pregnancy is one of conditions that increase the risk of gonococcal arthritis which result from blood dissemination of neisseria gonorrhoeae. A 20-year-old africain female patient (in the second trimester of pregnancy), was admitted to hospital because of fever, asymmetric joint swollen affecting the hands, wrists, left ankle, and right sternoclavicular joint. Laboratory findings (erythrocyte sedimentation rate was 117 mm in first hour, The serum C-reactive protein level was 152 mg/L) the gram stain of genital sample was positif of neisseria gonorrhoeae and trichomonas vaginalis. With antibiotics, outcome of pregnancy was timely and uneventful. Patients should be educated about the mode of transmission of gonorrhea. Sexual partners should also be treated to prevent dissemination and gonococcal re-infection.
authors.affiliation: Rheumatology Department, Medical School, Sidi Mohammed Ibn Abdellah University, Hassan II University Hospital, Fez, Morocco.
authors.forename: Imane
authors.initials: I
authors.lastname: El Mezouar
authors.affiliation: Rheumatology Department, Medical School, Sidi Mohammed Ibn Abdellah University, Hassan II University Hospital, Fez, Morocco.
authors.forename: Latifa
authors.initials: L
authors.lastname: Tahiri
authors.affiliation: Rheumatology Department, Medical School, Sidi Mohammed Ibn Abdellah University, Hassan II University Hospital, Fez, Morocco.
authors.forename: Faiza
authors.initials: F
authors.lastname: Lazrak
authors.affiliation: Rheumatology Department, Medical School, Sidi Mohammed Ibn Abdellah University, Hassan II University Hospital, Fez, Morocco.
authors.forename: Khadija
authors.initials: K
authors.lastname: Berrada
authors.affiliation: Rheumatology Department, Medical School, Sidi Mohammed Ibn Abdellah University, Hassan II University Hospital, Fez, Morocco.
authors.forename: Taoufik
authors.initials: T
authors.lastname: Harzy
mesh_terms: D001170:Arthritis, Infectious / Q000150:complications* / Q000382:microbiology / Q000503:physiopathology; D002097:C-Reactive Protein / Q000378:metabolism; D005260:Female; D006069:Gonorrhea / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000382:microbiology / Q000503:physiopathology*; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D014247:Trichomonas Vaginitis / Q000150:complications / Q000175:diagnosis; D014246:Trichomonas vaginalis / Q000302:isolation & purification; D055815:Young Adult
chemical_list: D002097:C-Reactive Protein
keywords: Gonococcal polyarthritis; pregnancy; sternoclavicular joint