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January 1989

Disseminated Gonococcal Infection

Arch Intern Med. 1989;149(1):227. doi:10.1001/archinte.1989.00390010185032

To the Editor.—We have read the interesting article by Geelhoed-Duyvestijn et al1 on disseminated gonococcal infection (DGI) in elderly patients that appeared in the September issue of the Archives and we briefly add a similar experience with four patients whom we have studied in the last five years. We believe that the diagnosis of DGI in elderly people has a great impact in family life not commonly seen in younger, usually single patients. Physicians should be aware of the ethical and social implications of such a diagnosis in the elderly.

Report of Cases.—Case 1.—A 49-year-old married woman came to the hospital because of fever, chills, and arthritis of the left knee. Two weeks before she had been traveling on her own and met some women friends in a recreational area in the north shore. She denied extramarital sexual contacts. On examination she was febrile and her left

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