title: Disseminated gonococcal infection: an unusual presentation.
abstract: Gonococcus typically affects the mucosal surfaces but in rare cases can spread to bloodstream causing disseminated gonococcal infection (DGI). The usual presentation of DGI is rash, polyarthralgia, and tenosynovitis. We present the case of a 23-year-old female who presented to our hospital with pustular rash and tenosynovitis of hand and was sent home on Augmentin. Her symptoms worsened despite treatment and she presented back to the ED. On investigation, she was found to have DGI and was appropriately treated. DGI should be kept in mind in sexually active youngsters who have only one or two features of the classic triad of rash, tenosynovitis, and arthritis. Timely management and appropriate treatment of DGI is very important to avoid complications and morbidity.
authors.affiliation: Department of Medicine, Reading Hospital and Medical Centre, West Reading, PA, USA; saroj.lohani@readinghealth.org.
authors.forename: Saroj
authors.initials: S
authors.lastname: Lohani
authors.affiliation: Department of Medicine, Reading Hospital and Medical Centre, West Reading, PA, USA.
authors.forename: Salik
authors.initials: S
authors.lastname: Nazir
authors.affiliation: Department of Medicine, Reading Hospital and Medical Centre, West Reading, PA, USA.
authors.forename: Niranjan
authors.initials: N
authors.lastname: Tachamo
authors.affiliation: Department of Medicine, Reading Hospital and Medical Centre, West Reading, PA, USA.
authors.forename: Nitin
authors.initials: N
authors.lastname: Patel
keywords: arthritis; culture; disseminated; gonococcus; rash; tenosynovitis