RT Book, Section
A1 Hardin, J. Matthew
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181043854
T1 Disseminated Gonococcus
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessmedicine.mhmedical.com/content.aspx?aid=1181043854
RD 2024/04/16
AB Disseminated  gonococcus  (gonococcemia)  is  a  systemic  infection  that  presents  in  1%  to  3%  of  untreated  mucosal  (urethral,  endocervical,  pharyngeal,  and  rectal)  gonorrhea  infections.  The  hematogenous  dissemination  of  Neisseria  gonorrhoeae  results  in  fever,  arthralgias,  and  scattered  pustules.  The  initial  lesion  is  an  erythematous  macule  that  evolves  into  a  papule  and  hemorrhagic  pustule.  Petechial  or  purpuric  macules  can  occur.  These  lesions  are  few,  asymmetric,  painful,  and  predominantly  located  on  the  distal  extremities.  The  spectrum  varies  from  skin  lesions  alone  to  associated  tenosynovitis,  septic  arthritis,  endocarditis,  and  meningitis.