Q: 28 year old female presented with fever, urethral discharge, vesicular rash over body and c/o pain over right knee. What is the probable diagnosis?
Answer: Gonococcal arthritis (disseminated gonococcal infection).
Disseminated Gonococcal Infection (DGI) ia a systemic infection that follows the hematogenous dissemination of the gonococcus from infected mucosal sites to skin, tenosynovium, and joints and is characterized by fever, petechial or pustular acral lesions, asymmetric arthralgias, tenosynovitis, or septic arthritis. It affects women four times more often than men, and is most common among sexually active adolescent girls. There is also increased risk during menstruation and pregnancy.