title: Gonococcal tenosynovitis in two HIV-infected heterosexual men: delayed diagnoses following negative urine nucleic acid amplification testing.
abstract: With recent increases in annual gonorrhoea incidence and disproportionately high infection rates amongst men who have sex with men, the clinical picture of disseminated gonococcal infection is changing. We present two cases where consideration of, and investigation for, disseminated Neisseria gonorrhoeae infection provided the answer when routine inpatient diagnostics had been unsuccessful.
authors.affiliation: Blackpool Sexual Health Services, Whitegate Health Centre, Blackpool, UK jshaw5@nhs.net.
authors.forename: Jonathan W
authors.initials: JW
authors.lastname: Shaw
authors.affiliation: Blackpool Sexual Health Services, Whitegate Health Centre, Blackpool, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Flegg
authors.affiliation: Blackpool Sexual Health Services, Whitegate Health Centre, Blackpool, UK.
authors.forename: John
authors.initials: J
authors.lastname: Sweeney
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019380:Anti-HIV Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D057210:Delayed Diagnosis; D006069:Gonorrhea / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D015658:HIV Infections / Q000150:complications* / Q000188:drug therapy; D020010:Heterosexuality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*; D021141:Nucleic Acid Amplification Techniques; D013717:Tenosynovitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D019380:Anti-HIV Agents; D002443:Ceftriaxone
keywords: Europe; Gonorrhoea (Neisseria gonorrhoeae); arthritis; diagnosis; disseminated gonococcal infection; sexually transmitted infection; tenosynovitis