The rarity of gonococcal arthritis in association with HIV infection

• Published in: Journal of infection in developing countries Vol. 8; no. 9; pp. 1222 - 1227
• Main Authors: Maharaj, Rasha, Mody, Girish M
• Format: Journal Article
• Language: English
• Published: Italy Journal of Infection in Developing Countries 12.09.2014
• Subjects: Adult; Anti-Bacterial Agents - therapeutic use; Arthritis; Arthritis, Infectious - complications; Arthritis, Infectious - diagnosis; Arthritis, Infectious - drug therapy; Case reports; Ceftriaxone - therapeutic use; Female; Gonorrhea - complications; Gonorrhea - diagnosis; Gonorrhea - drug therapy; HIV; HIV Infections - complications; Human immunodeficiency virus; Humans; Neisseria gonorrhoeae - isolation & purification; Treatment Outcome
• ISSN: 1972-2680; 2036-6590; 1972-2680
• DOI: 10.3855/jidc.4450

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.