Gonococcal Arthritis

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Abstract
A survey of 54 cases of gonococcal arthritis shows it to be primarily a disease of young adults, with women outnumbering men. Misdiagnosis and resulting delay in treatment occurred in 25% of cases. Inspection of a gram-stained smear of either cervical or urethral discharge proved to be the most useful diagnostic tool. The wrist, knee, and ankle were the joints most frequently affected. If the possibility of gonococcal arthritis exists, the patient should be treated immediately with antibiotics without waiting for a definite diagnosis.