Archives of Orthopaedic and Trauma Surgery

, Volume 129, Issue 10, pp 1335–1338 | Cite as

An unusual case of gonococcal arthritis of the finger

  • Susanne B. Thomas
  • Frank UnglaubEmail author
  • Adrian Dragu
  • André Gessner
  • Raymund E. Horch
Orthopaedic Surgery


Gonococcal arthritis is the most common acute septic arthritis in sexually active young adults. It is caused by the gram-negative diplococcus Neisseria gonorrhoeae. In 0.5–3% an untreated mucosal infection disseminates throughout the system and affects mostly big joints like the knee, elbows, and ankles. N. gonorrhoeae is a fragile microorganism which is difficult to culture. Penicillin resistance has developed worldwide in recent years, therefore, patients should be treated by a third generation Cephalosporin. In this article, we describe the unexpected finding of septic arthritis in the proximal interphalangeal joint of a 50-year-old patient. The septic arthritis was caused by N. gonorrhoeae.


Septic arthritis Neisseria gonorrhoeae Proximal interphalangeal joint Gonorrhoea Antibiotics 


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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Susanne B. Thomas
    • 1
  • Frank Unglaub
    • 1
    Email author
  • Adrian Dragu
    • 1
  • André Gessner
    • 2
  • Raymund E. Horch
    • 1
  1. 1.Department of Plastic and Hand SurgeryUniversity ErlangenErlangenGermany
  2. 2.Department of MicrobiologyUniversity ErlangenErlangenGermany

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