Monarthritis gonorrhoica - Altmeyers Encyclopedia

Synonym(s)

Gonorrhea

Definition
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Remote complication of gonorrhea due to hematogenic seeding of the gonococci in a joint.

Localization
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Large joint, mainly knee joint, also ankle, hand, elbow or hip joint.

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Clinical features
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Initial picture of a beginning polyarthritis. Spindle-shaped swelling of the joint. Subsequently serofibrinous inflammation, joint empyema. Reddening of the covering skin, pain, high fever, limited mobility. Rarely perforation to the outside. Destruction of the articular cartilage, productive overgrowth, synechia in the joint, possibly permanent restriction of movement.