General complications
These include:
- complications from local spread of gonococcal infection - transluminal spread of N. gonorrhoeae
- epididymo-orchitis or prostatitis in men
- pelvic inflammatory disease (PID) in women
- complications from haematogenous dissemination (less than 1% of infections)
- arthritis - generally polyarticular and migratory, usually settling in one or two joints - most often involves the knees, followed by the ankles, wrists, tarsi, metatarsophalangeals and dorsal tendon sheaths of the fingers
- dermatitis
- pericarditis, myocarditis, endocarditis
- meningitis
- hepatitis, perihepatitis
Reference:
- (1) Bignell C, Fitzgerald M; Guideline Development Group.UK national guideline for the management of gonorrhoea in adults, 2011. Int J STD AIDS. 2011;22(10):541-7.
- (2) Bignell C; IUSTI/WHO. 2009 European (IUSTI/WHO) guideline on the diagnosis and treatment of gonorrhoea in adults. Int J STD AIDS. 2009;20(7):453-7.
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