TY - CHAP M1 - Book, Section TI - Disseminated Gonococcus A1 - Hardin, J. Matthew A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Disseminated gonococcus (gonococcemia) is a systemic infection that presents in 1% to 3% of untreated mucosal (urethral, endocervical, pharyngeal, and rectal) gonorrhea infections. The hematogenous dissemination of Neisseria gonorrhoeae results in fever, arthralgias, and scattered pustules. The initial lesion is an erythematous macule that evolves into a papule and hemorrhagic pustule. Petechial or purpuric macules can occur. These lesions are few, asymmetric, painful, and predominantly located on the distal extremities. The spectrum varies from skin lesions alone to associated tenosynovitis, septic arthritis, endocarditis, and meningitis. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181043854 ER -