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Gonococcal Osteomyelitis: Case Report and Review of the Literature

Gonococcal Osteomyelitis: Case Report and Review of the Literature Abstract We report the 11th case of gonococcal osteomyelitis in the postantibiotic era. This case demonstrates the classic presentation of osteomyelitis associated with gonorrhea, a subacute illness with minimal systemic symptoms. In addition, we present radiologic evidence of the pathogenesis of this unusual osteomyelitis from a contiguous joint infection. (Arch Intern Med. 1991;151:177-179) References 1. Masi AT, Eisenstein BI. Disseminated gonococcal infection (DGI) and gonococcal arthritis (GCA), II: clinical manifestation, diagnosis, complications, treatment and prevention . Semin Arthritis Rheum. 1981;10:173-197.Crossref 2. Garcia-Kutzbach A, Dismuke SE, Masi AT. Gonococcal arthritis: clinical features and results of penicillin therapy . J Rheumatol. 1974;1:1210-1221. 3. Cooperman MB. End results of gonorrheal arthritis: a review of seventy cases . Am J Surg. 1929;5:241-252.Crossref 4. Wehrbein HL. Gonococcal arthritis a study of six hundred ten cases . Surg Gynecol Obstet. 1929;49:105-113. 5. Keefer CS, Spink WW. Gonococcal arthritis: pathogenesis, mechanism of recovery and treatment . JAMA. 1937;109:1448-1453.Crossref 6. Keiser H, Ruben FL, Wolmshy E, Kushner I. Clinical forms of gonococcal arthritis . N Engl J Med. 1968;279:234-240.Crossref 7. Angevine CD, Hall CB, Jacox RF. A case of gonococcal osteomyelitis: a complication of gonococcal arthritis . AJDC. 1976;130:1013-1014. 8. Ganz NM, McCormack WM, Laughlin LW, Schauffer IA, Cohen AS. Gonococcal osteomyelitis: an unusual complication of gonococcal arthritis . JAMA. 1976;236:2431-2432.Crossref 9. Tindall EA, Regan-Smith MG. Gonococcal osteomyelitis complicating septic arthritis . JAMA. 1983;250:2671-2673.Crossref 10. Magee G. Gonococcal arthritis . JAMA. 1975;234:1320-1321.Crossref 11. Black JR, Cohen MS. Gonococcal osteomyelitis: a case report and review of the literature . Sex Transm Dis. 1984;11:96-99.Crossref 12. Hurley PT, Salata RA, Hayden FG. Chronic gonococcal osteomyelitis . South Med J. 1987;80:264-266.Crossref 13. Rinaldi RZ, Harrison WO, Fan PT. Penicillin-resistant gonococcal arthritis . Ann Intern Med. 1982;97:43-45.Crossref 14. Leftik MI, Miller JW, Brown JD. Penicillin-resistant gonococcal polyarthritis . JAMA. 1978;239:134.Crossref 15. Unger E, Moldofsky P, Gatenby R, Hartz W, Broder G. Diagnosis of osteomyelitis by MR imaging . AJR. 1988;150:605-610.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Gonococcal Osteomyelitis: Case Report and Review of the Literature

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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1991.00400010167027
Publisher site
See Article on Publisher Site

Abstract

Abstract We report the 11th case of gonococcal osteomyelitis in the postantibiotic era. This case demonstrates the classic presentation of osteomyelitis associated with gonorrhea, a subacute illness with minimal systemic symptoms. In addition, we present radiologic evidence of the pathogenesis of this unusual osteomyelitis from a contiguous joint infection. (Arch Intern Med. 1991;151:177-179) References 1. Masi AT, Eisenstein BI. Disseminated gonococcal infection (DGI) and gonococcal arthritis (GCA), II: clinical manifestation, diagnosis, complications, treatment and prevention . Semin Arthritis Rheum. 1981;10:173-197.Crossref 2. Garcia-Kutzbach A, Dismuke SE, Masi AT. Gonococcal arthritis: clinical features and results of penicillin therapy . J Rheumatol. 1974;1:1210-1221. 3. Cooperman MB. End results of gonorrheal arthritis: a review of seventy cases . Am J Surg. 1929;5:241-252.Crossref 4. Wehrbein HL. Gonococcal arthritis a study of six hundred ten cases . Surg Gynecol Obstet. 1929;49:105-113. 5. Keefer CS, Spink WW. Gonococcal arthritis: pathogenesis, mechanism of recovery and treatment . JAMA. 1937;109:1448-1453.Crossref 6. Keiser H, Ruben FL, Wolmshy E, Kushner I. Clinical forms of gonococcal arthritis . N Engl J Med. 1968;279:234-240.Crossref 7. Angevine CD, Hall CB, Jacox RF. A case of gonococcal osteomyelitis: a complication of gonococcal arthritis . AJDC. 1976;130:1013-1014. 8. Ganz NM, McCormack WM, Laughlin LW, Schauffer IA, Cohen AS. Gonococcal osteomyelitis: an unusual complication of gonococcal arthritis . JAMA. 1976;236:2431-2432.Crossref 9. Tindall EA, Regan-Smith MG. Gonococcal osteomyelitis complicating septic arthritis . JAMA. 1983;250:2671-2673.Crossref 10. Magee G. Gonococcal arthritis . JAMA. 1975;234:1320-1321.Crossref 11. Black JR, Cohen MS. Gonococcal osteomyelitis: a case report and review of the literature . Sex Transm Dis. 1984;11:96-99.Crossref 12. Hurley PT, Salata RA, Hayden FG. Chronic gonococcal osteomyelitis . South Med J. 1987;80:264-266.Crossref 13. Rinaldi RZ, Harrison WO, Fan PT. Penicillin-resistant gonococcal arthritis . Ann Intern Med. 1982;97:43-45.Crossref 14. Leftik MI, Miller JW, Brown JD. Penicillin-resistant gonococcal polyarthritis . JAMA. 1978;239:134.Crossref 15. Unger E, Moldofsky P, Gatenby R, Hartz W, Broder G. Diagnosis of osteomyelitis by MR imaging . AJR. 1988;150:605-610.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jan 1, 1991

References