June 4, 2015; Newman LM, Moran JS, Workowski KA. The syndrome most frequently follows genitourinary infection with Chlamydia trachomatis, but other organisms have also been implicated. 1991 Nov-Dec. 13(6):1105-7. [Medline]. Available at http://www.who.int/vaccine_research/diseases/soa_std/en/index2.html. [Medline]. The genesis of SeekHealthZ has been with a vision to provide daily, authentic, reliable, good quality, easy and accessible information on health, prevention of disease risk, health education and better quality of life as “Health is a human right and a core element in people’s well-being and happiness”. November 17, 2017; Unemo M, Shipitsyna E, Domeika M. Recommended antimicrobial treatment of uncomplicated gonorrhoea in 2009 in 11 East European countries: implementation of a Neisseria gonorrhoeae antimicrobial susceptibility programme in this region is crucial. 63 (RR-02):1-19. [Medline]. Rates of gonococcal infection per 100,000 by state and outlying regions (2016). Gonorrhea is most commonly spread through sexual contact, but it can also be passed from mothers to their newborn babies during childbirth. Bleich AT, Sheffield JS, Wendel GD Jr, Sigman A, Cunningham FG. Incidence and treatment outcomes of pharyngeal Neisseria gonorrhoeae and Chlamydia trachomatis infections in men who have sex with men: a 13-year retrospective cohort study. AVERT.org. [Medline]. Accessed: May 21 2012. 51 (RR-15):1-38; quiz CE1-4. 40 (3):187-93. 2011 Feb. 9(2):237-44. [Medline]. Diagnosis of gonococcal arthritis, also called venereal arthritis, can be tricky. Kunz AN, Begum AA, Wu H, et al. Ned Tijdschr Geneeskd. Hemorrhagic bullae in gonococcemia. As always, this is from the ever expanding google doc on bits and bobs I read and learn from and transfer here for all our learning pleasure. Watring WG, Vaughn DL. Diseases & Conditions, 2002 Ness RB, Soper DE, Holley RL, Peipert J, Randall H, Sweet RL, et al. Van Howe RS. 438091-overview Available at http://www.medscape.com/viewarticle/869170. [Medline]. Multicenter evaluation of AMPLICOR and automated COBAS AMPLICOR CT/NG tests for Neisseria gonorrhoeae. J Clin Microbiol. The paradigm of reactive arthritis is an infectious trigger that occurs in a genetically susceptible individual in whom the immune system contin … Chest. According to Infectious Disease Physicians, 2002 Effectiveness of inpatient and outpatient treatment strategies for women with pelvic inflammatory disease: results from the Pelvic Inflammatory Disease Evaluation and Clinical Health (PEACH) Randomized Trial. https://www.cdc.gov/std/stats13/default.htm, http://www.cdc.gov/STD/stats09/gonorrhea.htm, http://www.cdc.gov/std/stats10/gonorrhea.htm, https://www.cdc.gov/std/stats12/default.htm, https://www.cdc.gov/std/stats16/Gonorrhea.htm, https://www.cdc.gov/std/stats16/natoverview.htm, https://www.cdc.gov/std/stats16/tables/14.htm, http://www.medscape.com/viewarticle/869170, http://www.avert.org/stdstatisticsworldwide.htm, http://whqlibdoc.who.int/hq/2011/WHO_RHR_11.14_eng.pdf, http://www.who.int/vaccine_research/diseases/soa_std/en/index2.html, https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/chlamydia-and-gonorrhea-screening, https://www.ecfr.gov/cgi-bin/text-idx?SID=1248e3189da5e5f936e55315402bc38b&node=pt42.5.493&rgn=div5, https://www.cdc.gov/std/tg2015/gonorrhea.htm, http://www.medscape.com/viewarticle/779587, http://www.cdc.gov/nchhstp/newsroom/2013/Gonorrhea-Treatment-Trial-PressRelease.html, http://www.medscape.com/viewarticle/845221, http://www.niaid.nih.gov/topics/gonorrhea/Pages/default.aspx, http://www.cdc.gov/std/gonorrhea/DCL-Azithro-GC-May-24-2011.pdf, http://www.cdc.gov/std/stats/trends2006.htm, http://www.medscape.com/viewarticle/777287, International Immunocompromised Host Society, American Association for Pediatric Ophthalmology and Strabismus, American Society of Cataract and Refractive Surgery, American Society of Ophthalmic Plastic and Reconstructive Surgery, Contact Lens Association of Ophthalmologists, International College of Surgeons US Section, Royal College of Physicians and Surgeons of Canada, American Society for Dermatologic Surgery, American College of Physicians-American Society of Internal Medicine, Infectious Diseases Society of New Jersey, Association for Research in Vision and Ophthalmology, International Society of Refractive Surgery, Pan-American Association of Ophthalmology, American Society of Tropical Medicine and Hygiene. 2008 Mar 15. 1980 Mar. Satterwhite CL, Torrone E, Meites E, Dunne EF, Mahajan R, Ocfemia MC, et al. Cytologic smear of cutaneous acral pustule showing gram-negative, intracellular diplococci. [Dermatitis or arthritis as a sign of gonorrhoea]. 2003 Sep. 41 (9):4395-9. [Full Text]. Reactive arthritis, formerly known as Reiter's syndrome, is a form of inflammatory arthritis that develops in response to an infection in another part of the body (cross-reactivity). [Medline]. Ota KV, Fisman DN, Tamari IE, et al. Gonococcal arthritis. Clin Exp Dermatol. Available at http://www.medscape.com/viewarticle/845221. 2007 Dec. 18(12):799-809. 2007 Apr 13. The estimated direct medical cost of selected sexually transmitted infections in the United States, 2008. 155:A2250. However, some people find it lasts longer and can have random flare-ups years after they first get it. Centers for Disease Control and Prevention. [Medline]. [Medline]. These diseases all tend to affect joints in the body – some arthritis diseases have been linked to specific joints, while others can affect any joint in the body.. Gonococcal arthritis is one of the rarer arthritis types and can lead to life-threatening symptoms when it goes untreated. Ann Fam Med. Symptoms of Gonococcal Arthritis Someone with gonococcal arthritis might experience gonorrhea symptoms, such as pain when urinating or noticing discharge, but most women and about half of men will never experience those genital symptoms. 57(4):735-46. Prompt recognition and treatment can reduce progression to chronic arthritis and other poor outcomes. 283-288. Disseminated gonococcal infection (DGI; ∼ 2% of cases) Usually occurs in patients < 40 years old; More common in women (4:1) Two possible clinical presentations . J Eur Acad Dermatol Venereol. Gonococcal arthritis is a rare complication of the sexually transmitted infection (STI) gonorrhea. Clin Infect Dis. Rates of reported gonorrhea cases by age group and sex, United States, 2016. Evaluation and Management of Septic Arthritis and Its Mimics in the Emergency Department, Rinse and Repeat? 29(7):228-34. 2000 Oct. 38 (10):3544-9. Medscape Medical News. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly93d3cubWVkc2NhcGUuY29tL2Fuc3dlcnMvMjE4MDU5LTY4MTc3L2hvdy1pcy1nb25vY29jY2FsLWFydGhyaXRpcy1kaWZmZXJlbnRpYXRlZC1mcm9tLXJlYWN0aXZlLWFydGhyaXRpcw==. Sex Transm Dis. Adult respiratory distress syndrome and gonococcemia. Impact of fluoroquinolone resistance mutations on gonococcal fitness and in vivo selection for compensatory mutations. Reactive Arthritis Vs Gonococcal Arthritis Usmle Joint disease is a debilitating disease characterized by the swelling of the joints. [Medline]. All material on this website is protected by copyright, Copyright © 1994-2020 by WebMD LLC. Asian J Androl. Morrow GL, Abbott RL. [Medline]. Clinical validation of a real-time polymerase chain reaction detection of Neisseria gonorrheae porA pseudogene versus culture techniques. J Infect Dis. [Medline]. 120(1252):U2491. The symptoms of psoriatic arthritis come and go but it is a lifelong condition that is usually progressive. GarcÃa PJ, Holmes KK, CÃ¡rcamo CP, et al. Greer L, Wendel GD Jr. Hjelmevoll SO, Olsen ME, Sollid JU, Haaheim H, Melby KK, Moi H, et al. Dear Commissioner Hahn: Tell the Truth or Resign, Restaurants May Be Key Component to COVID-19 Spread, 'Breakthrough Finding' Reveals Why Certain COVID Patients Die, Ureaplasma Septic Arthritis: An Unusual Case Unfolds. Septic gonococcal arthritis without skin lesions can be confounded with a form of ReA, ... A. ToivanenSynovial fluid leukocytosis in bacterial arthritis vs. reactive arthritis and rheumatoid arthritis in the adult knee. Screening for gonorrhea: recommendation statement. This website also contains material copyrighted by 3rd parties. Reactive arthritis can sometimes also involve inflammation of the urethra (non-gonococcal urethritis), which is the tube that carries urine out of the body. It usually develops after you've had an infection, particularly a sexually transmitted infection or food poisoning. Accessed: 5/27/11. 5(1):17-23. Compr Ther. In the United States, gonococcal arthritis is the most common form of septic arthritis. Reactive arthritis is a condition that causes redness and swelling (inflammation) in various joints in the body, especially the knees, feet, toes, hips and ankles. What is reactive arthritis? Sex Transm Dis. Yu RX, Yin Y, Wang GQ, Chen SC, Zheng BJ, Dai XQ, et al. 119(3):597-602. [Medline].  In Western Europe, however, gonococcal arthritis is uncommon,  probably because of the 70% decline in gonococcal infections over the past 2 decades. National Institute of Allergy and Infectious Diseases. Whiley DM, Garland SM, Harnett G, Lum G, Smith DW, Tabrizi SN, et al. Conjunctivitis. 47 (6):1663-7. Available at http://www.cdc.gov/STD/stats09/gonorrhea.htm. 1999 Nov. 37(11):3668-71. 2002 May. [Medline]. Driessen CM, de Jong SA, Bastiaens MT, Hissink Muller W, Weenink JJ, Spooren PF. 41. In this article, you will get a great overview of the USMLE facts concerning the topic septic arthritis vs. reactive arthritis. WHO Guidelines for the Treatment of Neisseria gonorrhoeae. J Clin Microbiol. Verzijl A, Berretty PJ, Erceg A, Krekels GA, Van den Brule AJ, Boel CH. J Clin Microbiol. [Medline]. 2008 Jun. [Medline]. 8 Apr. The efficacy and safety of gentamicin plus azithromycin and gemifloxacin plus azithromycin as treatment of uncomplicated gonorrhea. Lewis DA. [Medline]. McNally LP, Templeton DJ, Jin F, Grulich AE, Donovan B, Whiley DM, et al. [Medline]. Rheum Dis Clin North Am. Differences in clinical features of Reactive Arthritis and gonococcal arthritis. 2007 Mar 24. [Medline]. 1970 Apr 2. 236299-overview [Medline]. Gonorrhea: update. Accessed: August 16, 2011. [Medline]. 2008 Jul 15. Medscape Medical News. Belding ME, Carbone J. Gonococcemia associated with adult respiratory distress syndrome. Curr Opin Investig Drugs. [Medline]. [Medline]. [Guideline] Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. Am Fam Physician. [Full Text]. [Medline]. 45(1):8-24. Reactive arthritis, (formerly known as Reiter syndrome), is an autoimmune condition that occurs after a bacterial infection of the gastrointestinal or urinary tract.It is categorized as a seronegative spondyloarthritis because of its association with HLA-B27.Reactive arthritis primarily affects young men and usually presents with musculoskeletal or extra‑articular symptoms. Obstet Gynecol. Singh V, Bala M, Bhargava A, Kakran M, Bhatnagar R. 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