Gonococcal arthritis

Most common strain of infectious arthritis.

Women affected 2-3 times more frequently than men.

Migratory tenosynovitis often associated with arthritis.

Gram stain of synovial fluid is positive in fewer than 10% of patients.

Synovial fluid culture often negative.

Response to treatment usually rapid and complete, such that this type of septic arthritis is much less destructive than nongonococcal arthritis.

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