In an investigation of various types of arthritis, we have made detailed studies and observations on patients with gonococcic infections involving the joints. Particular interest has been taken in the pathogenesis of this disease, together with the mechanism of recovery. At this time we present a summary of the results of this study.
The diagnosis of gonococcic arthritis was made on the following grounds: (1) a history of a recent attack of gonorrhea; (2) evidence of a localized gonococcic infection of the genital tract; (3) a positive reaction to the gonococcus complement fixation test on the blood and/or synovial fluid, and (4) the demonstration of gonococci in the synovial fluid.
CLINICAL FEATURES OF GONOCOCCIC ARTHRITIS
During the past five years, 140 cases of gonococcic arthritis have been observed and studied. Sixty-nine cases were summarized previously,1 and we not add seventy-one more cases to this first
KEEFER CS, SPINK WW. GONOCOCCIC ARTHRITIS: PATHOGENESIS, MECHANISM OF RECOVERY AND TREATMENTCLINICAL LECTURE AT ATLANTIC CITY SESSION. JAMA. 1937;109(18):1448–1453. doi:10.1001/jama.1937.92780440002012
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