Gonococcal Arthritis in the Newborn

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Abstract
IN THE prechemotherapeutic era gonococcal arthritis in the newborn Was not uncommon.1,2 In 1905, Holt reviewed 26 cases in children from Babies Hospital in New York, two of which had occurred in neonates, and one of these patients had associated conjunctivitis.1 In 1927, Cooperman reported 53 cases out of 182 births in an outbreak in the newborn nursery of a maternity hospital in Philadelphia.2 It was unclear who was the original source of the infection, but it was most likely introduced into the nursery through an infant who had some of the contaminated discharges on its body. The disease was then disseminated unknowingly to the other infants probably by means of contaminated rectal thermometers, wash basins, or laundry. Since then only occasional reports have appeared.3-6 This is in contrast to neonatal gonococcal ophthalmia in thechemotherapeutic era; the highest rate for those who received no treatment at

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