Febrile Polyarthritis: Should We Think About Disseminated Gonococcal Infection
Mariem Ghribi *
Service de Médecine interne CHU Hédi Chaker, Route El Ain 3029 Sfax, Tunisie.
Sameh Marzouk
Service de Médecine interne CHU Hédi Chaker, Route El Ain 3029 Sfax, Tunisie.
Abir Derbel
Service de Médecine interne CHU Hédi Chaker, Route El Ain 3029 Sfax, Tunisie.
Mouna Snoussi
Service de Médecine interne CHU Hédi Chaker, Route El Ain 3029 Sfax, Tunisie.
Zouhir Bahloul
Service de Médecine interne CHU Hédi Chaker, Route El Ain 3029 Sfax, Tunisie.
*Author to whom correspondence should be addressed.
Abstract
Gonococcal disease is a sexually transmitted infection. The responsible agent is Neisseria gonorrhoeae. Disseminated gonococcal infection results from blood dissemination of N. gonorrhoeae from its mucosal first site of infection. In our cases, two patients had systematic lupus erythematous, in which one patient developed a dermetitis-arthritis syndrome and the other patient developed a febrile polyarthritis. The third patient was a healthy female who developed a dermetitis-arthritis syndrome. The treatment consisted of intravenous antibiotic and immobilization. The evolution was favorable in all of our cases.
Keywords: polyarthritis, fever, dermatitis, systemic lupus erythematous, gonococcal dissemination.