GONORRHOEA – CLINICAL MANIFESTATIONS 3
Septicaemia is uncommon in gonorrhoea but haematogenously disseminated focal lesions may occur in the skin or in mucous, synovial or other membranes. Extragenital immune lesions may involve joints, skin and other sites.
Septicaemic skin lesions are usually erythematous papules which may progress to superficial pustules and heal in a few days without scarring.
Arthritis may occur and may or may not be septic. Septic gonococcal arthritis is typically monoarticular and usually involves the knee. Tenosynovitis is occasionally seen.
Meningitis, endocarditis, myocarditis and pericarditis occur rarely.
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