gonococcal arthritis…

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gonoccocal arthritis, chondromalacia, the patella, disseminated gonococcal infection, dgi, gonococcal arthritis, infection, of a single joint, in 90% to 95% of cases, occurs, gonorrhea, infection occurs, been infected, gonorrhea, affects women more frequently than men, its highest incidence is among sexually active adolescent girls, increased risk, menstruation, pregnancy, two forms of arthritis exist, skin rashes, multiple joint involvement, a second, less common, form, disseminated gonococcemia leads to infection of a single joint, monoarticular, joint fluid cultures, positive, single joint arthritis follows generalized spread, dissemination, the gonococcal infection, dissemination is associated, symptoms of fever, chills, multiple joint aches, arthralgia, rashes, 1-mm to 2-cm red macules, episode, end, a single joint becomes infected, most commonly involved joints, the large joints the knee, wrist, ankle, migrating joint pain, 1 to 4 days, polyarthralgia, pain, in the hands/wrists, due to tendon inflammation, tenosynovitis, single joint pain, fever, skin rash, lesions, flat, pink to red, become pustular, purpuric, pain, burning on urination, lower abdominal pain, positive cervical gram stain, positive, gonococci, urethral culture, gonorrhea in men, cervical culture, gonorrhea in women, rectal culture, gonorrhea in men, women, throat culture, gonorrhea, joint fluid gram stain, synovial fluid culture, gonorrhea, culture of joint aspirate, blood cultures, checked in all cases of possible gonococcal arthritis, two aspects of treating a sexually transmitted disease, spread, gonorrhea, first aspect, cure the infected person, second, locate, treat all sexual contacts, the infected person, prevent further spread, mandatory reporting has been instituted, has, has held the number of cases of gonorrhea at a low level, incidence of gonorrhea is once again rising, beginning, the time, the vietnam war, united states saw the appearance of strains of gonorrhea, resistant to penicillin, tetracycline, resistant strains have been increasing over the last few years, a new standardized treatment regimen has now been recommended by the centers, disease control, prevention, cdc, the standard penicillin treatment, gonorrhea is now treated by a large number of new, very potent antibiotics, consult health care provider to ascertain the best, most up-to-date treatment, a follow-up visit 7 days after treatment is important to recheck cultures, confirm the cure of infection, improve, 24 to 48 hours after initiation of treatment, complete recovery is anticipated, untreated, persistent discomfort, in the affected joints, infertility, complications of gonorrhea, disseminated gonorrhea, spread throughout the body, experience symptoms suggestive of gonococcal arthritis, prevention consists of following safer sexual practices, monogamous sexual relations, a known disease-free partner, considered the ideal means of prevention, use of condoms provides the best protection against gonorrhea, sexually transmitted diseases, treatment of all sexual partners of a known infected person is essential, prevent further spread, reinfection.