Benign gonococcal sepsis with skin lesions.

Septic Gonococcal Dermatitis

“…Since Abu-Nassar et al (1963) reviewed 14 cases it has been widely reported that this characteristic syndrome, with typical skin lesions, intermittent fever and with or without arthralgia and arthritis in combination with genitourinary gonorrhoea is more common than is usually thought (Abu-Nassar et al, 1963;Kvorning 1963;O'Sullivan 1964;Ackerman et al, 1965;Fred et al, 1965;Bjornberg and Gisslen, 1966;Danielsson, and Michaelsson, 1966;Kahn and Darnielsson, 1969;Wolff et al, 1970). Keiser et al (1968) reported an incidence of approximately 0-4%.…”

“…Since then several authors have drawn attention to this syndrome (Kvorning, 1963;O'Sullivan, 1964;Ackerman et al, 1965;Fred et al, 1965;Bjornberg and Gisslen, 1966;Danielsson and Michaelsson, 1966;Wolff et al, 1970). Septic gonococcal dermatitis is a more relevant name, since it has been shown with cultural methods and fluorescent antibody techniques that the cutaneous manifestations are due to the embolization of gonococci with a genitourinary gonorrhoea as the primary focus (Kahn and Danielsson, 1969).…”

Gonococcal arthritis--a common rarity.

“…infect. Dis., 1969;Eisenstadt, 1968;Grossman and Roos, 1968), South America (Losada, 1966), and Europe (Bjornberg andGisslen, 1965, 1966).…”

Cultural Proof of <i>Neisseria gonorrhoeae </i>in Synovial Fluid in Disseminated Gonococcal Infection

“…In fact it is no rare event that com plaints about joints and not about skin le sions or genital discharge make the patients see a doctor [12], Yet even some venereolo gists presenting broad clinical material [2,3] do not include a bacteriological investiga tion of synovial fluid in the microbiological workup of their patients with disseminated gonococcal infection. To demonstrate that this should not lead to the conclusion that synovial fluid culture is generally superflu ous, a case is reported in which Neisseria gonorrhoeae could be exclusively grown from joint aspirate.…”