Disseminated gonococcal infection involving the foot

The patient had two features of N. gonorrhoeae infection, which were urogenital inflammation and pharyngitis. At first, the urogenital inflammation was denied and so delayed the correct diagnosis. The patient had been treated initially with oral penicillin for the pharyngitis, but without effect. The result was because of the increase in penicillin-resistant strains. This created DGI with initial migratory polyarthralgia from his left shoulder to the right midfoot. Acute arthritis formed in the midfoot. Once the correct diagnosis was made and appropriate antibiotics started, the infection responded rapidly and completely.