Gonorrhea, as the term is ordinarily understood, is usually thought of as an affection of the urethra, or at most as a urethritis complicated by affection of the eye or joints, but the possibility of its being complicated by metastatic abscesses in various other parts of the body is not so generally kept in mind. It has only been within the last half century that practitioners as a whole have recognized the connection which exists between gonorrheal infection of the urethra and certain joint affections, and a thorough understanding of the nature of this connection has been possible for a much less time. It is generally admitted that Selle and Swediaur1 were the first to recognize in the coincident urethritis the cause of what is now known as gonorrheal arthritis. Swediaur describes this complication of gonorrhea in his work entitled "Practical Observations on the More Obstinate Venereal Complaints," which
McCOLGAN J, COOPER JM. A STUDY OF GONOCOCCUS METASTASIS; WITH REPORT OF A CASE. JAMA. 1904;XLII(14):877–878. doi:10.1001/jama.1904.92490590011001c
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