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from Section 5 - Antepartum (Infectious Complications)
Published online by Cambridge University Press: 08 April 2025
Gonococcal infection is the second most commonly reported bacterial infection. Untreated infection predisposes individuals to disseminated disease, which can result in dermatitis, tenosynovitis, migratory polyarthritis, or the “arthritis-dermatitis syndrome.” Disseminated gonococcal infection has a predilection for women and pregnancy is another risk factor. Suspect disseminated gonococcal infection in any sexually active woman (pregnant or otherwise) with septic arthritis. A history and physical examination usually lead to the working diagnosis; blood cultures, specimens from exposed mucosal surfaces, and affected synovial joint fluid aspirates help to confirm the diagnosis. Intravenous ceftriaxone is the mainstay of treatment, and complete resolution of symptoms without sequelae is the norm.
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