Sexual Transmitted Infections: Gonococcemia

Question 1

GONOCOCCEMIA Definition

Answer 1

disseminated gonococcal infection

Question 2

GONOCOCCEMIA lesions

Answer 2

hemorrhagic, tender, pustules on a purpuric/petechial background

Question 3

GONOCOCCEMIA common sites:

Answer 3

distal aspects of extremities

Question 4

GONOCOCCEMIA associated with

Answer 4

fever, arthritis, urethritis, proctitis, pharyngitis, and tenosynovitis

Question 5

GONOCOCCEMIA at birth?

Answer 5

neonatal conjunctivitis if infected via birth canal

Question 6

GONOCOCCEMIA Etiologic agent

Answer 6

Neisseria gonorrhoeae

Question 7

GONOCOCCEMIA Investigations

Answer 7

requires high index of clinical suspicion because tests are often negative
• bacterial culture of blood, joint fluid, and skin lesions
• joint fluid cell count and Gram stain

Question 8

GONOCOCCEMIA Management

Answer 8

notify Public Health authorities
• screen for other STIs
• cefixime 400 mg PO (drug of choice) or ceftriaxone 1 g IM