Gram Negative Cocci
Which is not a metastatic complication of Gonorrhea;
· Arthritis, meningitis and endocarditis can occur as complication of disseminated gonococcal infection (DGI).
Gonococcal arthritis or disseminated !!Onococcal infection (DGI)
- Produced by strains of the Por 1 A serotype.
- It has two stages.._...
· Stage I (Bacteremic stage)
- Clinically there are systemic manifestation; Polyarthralgia includes the knees, elbow and more distal joints
(axial skeleton is generally spared); and skin lesions (including papules and pustules) on the extremities.
· Stage II (suppurative arthritis)
- involves one or two joints most often (in decreasing order offrequency) the knee, wrists, ankles and elbows.
Other joints, such as small joints of hand and feet and the sternoclavicular and temporomandibular joints, are occasionally involved.
- Gonococcal endocarditis is rare.
- Another unusual complication ofDGI is meningitis.