Reactions Weekly

, Volume 1779, Issue 1, pp 78–78 | Cite as


Severe disseminated gonococcal infection with polyarticular gout: 2 case reports
Case report
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An event is serious (based on the ICH definition) when the patient outcome is:

  • * death

  • * life-threatening

  • * hospitalisation

  • * disability

  • * congenital anomaly

  • * other medically important event

In a case report, a 53-year-old man and a 63-year-old man developed severe disseminated gonococcal infection with polyarticular gout following self-medication with indometacin and colchicine, respectively, for presumed gout [routes, dosages and times to reactions onsets not stated].

Case 1: The 53-year-old man had a history of up to 6 episodes/year of acute gout for 10 years along with hazardous alcohol use. He had not been taking preventative therapy for gout. Four days following unprotected sexual intercourse with a commercial sex worker in Manila, Philippines, he developed left ankle pain and swelling, fevers and chills. He self-medicated himself with indometacin [indomethacin] for presumed gout, and the response was noted. Then, he developed polyarthritis, which included the...


  1. Smith EL, et al. Case Report: Severe Disseminated Gonococcal Infection with Polyarticular Gout: Two Cases in Older Travelers. American Journal of Tropical Medicine and Hygiene 100: 209-212, No. 1, 2019. Available from: URL: - AustraliaCrossRefGoogle Scholar

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© Springer International Publishing AG 2019

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