By Gary M. White, MD

Disseminated gonococcal infection Courtesy Michael O. Murphy, MD

Disseminated gonococcal infection may occur after acquisition of this gram-negative diplococcus through sexual activity.


Only a few, scattered hemorrhagic vesicopustules, usually overlying joints, is typical. Arthritis and fever are common. Consider also in the differential diagnosis, rat bite fever which can present in a similar fashion with fever and vesicopustules acrally.


Appropriate antibiotic therapy should be given.

Additional Pictures

Courtesy Michael O. Murphy, MD
Disseminated gonococcal infection


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