Sara Humayun1, Radhika
Bahadur1, Maryam Fatima1, Atul
Bali1, Sreekanth Avula2, Roopa
Naik1
1Deparment of Medicine, Geisinger Wyoming Valley
Medical Center, Wilkes-Barre, PA, USA
2 Department of Diabetes, Endocrinology and
Metabolism, University of Minnesota, Minneapolis, MN, USA
Abstract :
Gonorrhea is a sexually transmitted infection caused by gram-negative
diplococci, Neisseria gonorrhoeae . Disseminated gonorrhea is
diagnosed infrequently, partly due to low suspicion at the time of
presentation, and at times, due to overlapping symptoms associated with
non-infectious conditions like systemic lupus erythematosus (SLE). In
this article, we present a 42-year-old sexually active female with knee
pain and swelling, fever, and rash. Knee aspirate showed the presence of
monosodium urate crystals, and the synovial culture grew gram-negative
diplococci, requiring multiple joint washouts. Urine nucleic acid
amplification test (NAAT) was indeterminate. She was treated with
high-dose intravenous ceftriaxone for 1 week post-joint washout with
rapid improvement in her condition and resolution of the rash.