Disseminated Gonococcal Infection and Tenosynovitis from an Asymptomatically Infected Intrauterine Contraceptive Device

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Abstract
Disseminated gonococcal infection has been increasingly recognized as a cause of acute septic arthritis and tenosynovitis.1 2 3 4 However, despite recent improvements in culture technics, which have allowed more frequent isolation of Neisseria gonorrhoeae, suspected cases remain undiagnosed. In the following case an intrauterine contraceptive device, previously unrecognized as a source of asymptomatic infection, produced disseminated gonococcal infection.Case ReportIn a 36-year-old nurse fever (temperature of 39.8°C) and chills developed, followed by severe pain, swelling and redness in the left hand, with restricted extension of her third, fourth, and fifth fingers. After the onset of a skin rash, accompanied by . . .