Shoulder Pain: A Presentation of Bilateral Gonococcal Arthritis of the Shoulders

Yadav, Ajay; Nazeer, Shameem R.; Wainscott, Michael P.; Miller, Anthony

doi:10.1016/j.jemermed.2007.03.007

Cited by 4 publications

(4 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Synovial fluid cultures are positive in only 10%–50% of cases of gonococcal arthritis, and a definitive diagnosis is therefore not always obtained. 4,8 Additionally, when blood cultures are performed in patients with suspected septic arthritis, cultures are more often negative in gonococcal infections. 4,5 The failure to recover N. gonorrhoeae from the sites of dissemination may partly be caused by the difficult in vitro growth conditions of N. gonorrhoeae .…”

Section: Discussionmentioning

confidence: 99%

“…Multiple arthritis is sometimes seen, but it is often unilateral. 8,17,18 The shoulder joint is rarely involved. Masi et al 18 reported that shoulder joint involvement was present in 15 of 218 (6.8%) cases.…”

Section: Discussionmentioning

confidence: 99%

“…4–7 DGI can usually be diagnosed by blood culture or synovial fluid culture, but there are few reports describing the use of synovial DNA tests to confirm the diagnosis. 8–12 Here, we report a case of gonococcal osteomyelitis that was diagnosed by synovial DNA testing.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Disseminated gonococcal infection of the shoulder mimicking rheumatoid arthritis

et al. 2022

View full text Add to dashboard Cite

Introduction Gonococcal arthritis is a characteristic of disseminated gonococcal infection (DGI). DGI arthritis is one of the most serious orthopedic emergencies because it can result in rapidly progressive joint damage, but it is often difficult to diagnose. Delayed treatment can result in the development of osteomyelitis in the adjacent bone, similar to other types of bacterial arthritis. Method We report a case of gonococcal osteomyelitis associated with DGI that was initially treated as rheumatoid arthritis. The diagnosis was confirmed by DNA testing of synovium collected during arthroscopic debridement. Results Seven years after the initial consultation, there was no acute-phase reactant, the arthritic changes had improved over time and the range of motion had increased. DGI may be difficult to confirm, but it is one of the most important entities that should be differentiated in the treatment of arthritis. Conclusion Clinicians need to keep in mind that blood and synovial fluid cultures often do not lead to a definitive diagnosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Disseminated gonococcal infection of the shoulder mimicking rheumatoid arthritis

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Based on the PUBMED search, we identified only 11 reports comprising 15 cases of gonococcal arthritis and HIV infection [3][4][5]10,[13][14][15][16][17][18][19]. The demographic data, clinical features, laboratory findings, and outcome of these patients, together with our two patients, are summarized in Table 1.…”

Section: Literature Reviewmentioning

confidence: 99%

The rarity of gonococcal arthritis in association with HIV infection

Maharaj

Mody

2014

J Infect Dev Ctries

View full text Add to dashboard Cite

Gonococcal urethritis is common with HIV, but gonococcal arthritis is rare. We report two HIV-positive patients with gonococcal arthritis and review previously published reports. A 27-year-old HIV-positive female presented with a pustular skin rash and acute oligoarthritis. Neisseria gonorrhoeae was cultured from the right elbow aspirate. The second patient, a 24-year-old HIV-positive female on zidovudine for one month, presented at 28 weeks gestation with acute oligoarthritis and peroneal tenosynovitis. Neisseria gonorrhoeae was cultured from the throat swab. Both patients responded to ceftriaxone. Gonococcal arthritis must be considered in HIV patients with acute arthritis.

show abstract

Artritis gonocócica en pacientes con infección por el virus de la inmunodeficiencia humana. Revisión de la literatura

Corrales

Navas

Muñoz

et al. 2017

Reumatología Clínica

View full text Add to dashboard Cite

Shoulder Pain: A Presentation of Bilateral Gonococcal Arthritis of the Shoulders

Cited by 4 publications

References 10 publications

Disseminated gonococcal infection of the shoulder mimicking rheumatoid arthritis

Disseminated gonococcal infection of the shoulder mimicking rheumatoid arthritis

The rarity of gonococcal arthritis in association with HIV infection

Artritis gonocócica en pacientes con infección por el virus de la inmunodeficiencia humana. Revisión de la literatura

Contact Info

Product

Resources

About