Postgonococcal Arthritis | Gonococcal Arthritis

Gonococcal Arthritis is caused by a Gonorrhea infection from the bacteria Neisseria gonorrhoeae and result in pelvic pain, single joint pain, and burning or pain during urination.

Postgonococcal Arthritis is may result in joint pain as one of the symptoms of a gonorrhea infection. This condition may cause inflammation to several joints at once, though only one joint is typically affected. Postgonococcal Arthritis (also known as Gonococcal arthritis), is a result of a gonorrhea infection caused by the bacteria Neisseria gonorrhoeae. Gonococcal Arthritis is also known as Disseminated Gonococcal infection (DGI).

Gonorrhea is an infection that is contracted from the bacteria Neisseria gonorrhea, and may only be contracted by two people engaging in unprotected sexual intercourse. The symptoms may include pain and painful discharges during sex and urination, and the symptoms continue to get more serious the longer the condition has gone untreated.

In men, the most common symptoms are penile discharge and burning with urination. With women, the course of the disease alternates between about 50% periods where they are asymptomatic, and periods where the most common symptoms include pelvic pain and vaginal discharge.

If the condition continues untreated, it may lead to pelvic inflammatory disease in women and epididymitis in men, which are both painful and may possibly affect future reproductive health. The infection, if not treated adequately with antibiotics, may spread to other areas of the body, affecting the heart valves and joints.

Signs and Symptoms of Gonorrhea. Half of women with Gonorrhea are asymptomatic while those that are symptomatic suffer from effects including pain with intercourse, abdominal pain, and vaginal discharge. Males who are symptomatic may be affected by penile discharge, burning with urination, and urethritis (inflammation of the urethra).

Signs and Symptoms of Gonococcal Arthritis (Gonococcal Joint Infection).
  • Skin rash (These skin tumors/lesions are large in diameter, may be pink to red, and later appear purple and contain pus)
  • Single joint pain (which may cause lower back pain). When joint pain does occur, the joints most commonly affected are those in the ankle, wrist, and knee.
  • Burning or pain during urination
  • Inflammation of the tendons in the hand or wrist which causes pain in the hands or wrist
  • Migrating joint pain from a period of 1 to 4 days
  • Pain in the lower abdominal area
  • Fever
Cause: The Gonorrhea infection is transmitted among humans engaging in oral or vaginal sex. The risk of infection from a single sexual encounter is high:
  • 20% of men may be infected by an infected women from one encounter
  • For male homosexual encounters, the risk from one encounter is much higher.
  • There is a 60-80% chance that an infected male will pass on the infection to a female from just one encounter.
There is also a less common form of Gonorrhea that is spread through the blood, called disseminated gonococcemia. disseminated gonococcemia leads to infection of a single joint. Treatment. Gonorrhea can be effectively treated with antibiotics, though many of the antibiotics that used to be effective for this infection now no longer work because of the bacterial resistance. Previously, the antibiotics including fluoroquinolones, penicillin and tetracycline, were successfully used to treat the infection but now no longer produce consistent results in putting it down. Today ceftiaxone remains effective in eliminating the infection from the body but concerns about resistant are already being raised around hospitals and clinics.