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October 18, 1965

Gonococcal Arthritis in Children

Author Affiliations

From the Department of Pediatrics, University of Texas Southwestern Medical School, Dallas.

JAMA. 1965;194(3):237-238. doi:10.1001/jama.1965.03090160015004

Six children with gonococcal arthritis were seen at Parkland Memorial Hospital and the Children's Medical Center in Dallas during a 2 1/2-year period. There were five girls and one boy. The clinical manifestations were variable. A migratory polyarthritis with eventual localization in one or more joints was most common. Gonococci were cultured from a joint or the vagina in all but one of the six patients. Sera of all six contained gonococcal antibodies as revealed by the fluorescent antibody technique. A survey of cultures done at both hospitals during the period Jan 1, 1964, through March 31, 1965, has revealed 17 infants and children with culture-positive, nonarthritic gonococcal disease, in addition to the six with gonococcal arthritis.