What is the role of surgery in the treatment of gonococcal arthritis?

Updated: Jul 31, 2018
  • Author: Rachel Robbins, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Daily aspiration with synovial fluid drainage has been recommended for purulent effusions associated with gonococcal arthritis. Open drainage or arthroscopy of infected joints is needed when arthrocentesis is insufficient.

Although patients with persistent joint effusion despite early antibiotic therapy may require frequent joint aspiration, joint effusions in gonococcal arthritis rarely result in permanent damage. Arthroscopic evaluation or surgical drainage that requires an orthopedic surgeon is rarely needed.

Patients with acute endocarditis secondary to gonococcal infection may require cardiothoracic surgery.


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