The rarity of gonococcal arthritis in association with HIV infection

Rasha Maharaj; Girish M Mody

doi:10.3855/jidc.4450

The rarity of gonococcal arthritis in association with HIV infection

Authors

Rasha Maharaj University of KwaZulu-Natal, Durban, South Africa
Girish M Mody University of KwaZulu-Natal, Durban, South Africa

DOI:

https://doi.org/10.3855/jidc.4450

Keywords:

Neisseria gonorrhoeae, arthritis, DGI, disseminated gonococcal infection, HIV, AIDS

Abstract

Gonococcal urethritis is common with HIV, but gonococcal arthritis is rare. We report two HIV-positive patients with gonococcal arthritis and review previously published reports. A 27-year-old HIV-positive female presented with a pustular skin rash and acute oligoarthritis. Neisseria gonorrhoeae was cultured from the right elbow aspirate. The second patient, a 24-year-old HIV-positive female on zidovudine for one month, presented at 28 weeks gestation with acute oligoarthritis and peroneal tenosynovitis. Neisseria gonorrhoeae was cultured from the throat swab. Both patients responded to ceftriaxone. Gonococcal arthritis must be considered in HIV patients with acute arthritis.

Author Biographies

Rasha Maharaj, University of KwaZulu-Natal, Durban, South Africa

Specialist and Honorary clinical lecturer

Department of Rheumatology, Room 528, 5^th Floor, Nelson R Mandela School of Medicine, 719 Umbilo Rd, Durban, South Africa 4001

Girish M Mody, University of KwaZulu-Natal, Durban, South Africa

Head of Department

Department of Rheumatology, Room 528, 5^th Floor, Nelson R Mandela School of Medicine, 719 Umbilo Rd, Durban, South Africa 4001

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Published

2014-09-12

How to Cite

Maharaj R, Mody GM (2014) The rarity of gonococcal arthritis in association with HIV infection. J Infect Dev Ctries 8:1222–1227. doi: 10.3855/jidc.4450

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Issue

Vol. 8 No. 09: September 2014

Section

Case Reports

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