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September 28, 1935


JAMA. 1935;105(13):1025-1028. doi:10.1001/jama.1935.02760390019006

Gonorrhea manifests itself in many sites remote from its usual portal of entry, the genito-urinary tract. In the literature there are reports of cases of gonococcic thyroiditis, infection of surgical wounds, laryngitis, tonsillitis, otitis media, dacryocystitis, parotitis and other conditions. One of the most common focal involvements is that of the joints and less frequently of the related bursae and tendon sheaths.

The only references in English to suppurative gonococcic tenosynovitis, especially that involving the flexor tendons of the hand, are brief notations in textbooks. The condition is recorded by Keen,1 Howard and Perry,2 Da Costa,3 Graham,4 Boyd5 and others merely in its relation to inflammation of the tendon sheaths in general. There are a few articles in German6 and in French.7

Kanavel8 has seen only the two patients with gonococcic tenosynovitis mentioned in his book, but he has expressed the opinion

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