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Updated: Feb 24, 2026

Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
Published on: December 3, 2017
[A case of gonococcal arthritis: Diagnostic difficulties and usefulness of synovial fluid PCR]
N Rouanes1, R Sanchez2, C Cazanave3
1Service de médecine interne et maladies infectieuses, centre hospitalier de Périgueux, 80, avenue G.-Pompidou, CS 61205, 24019 Périgueux cedex, France.
Introduction:
The incidence of Neisseria gonorrhoeae septic arthritis remains low in the general population. Its clinical and microbiological diagnostic remains difficult.
Case Report:
We report a 44-year-old man who presented with a monoarthritis of the right ankle. The diagnosis of gonoccocal septic arthritis was obtained by PCR from the joint fluid. Treatment with ceftriaxone was effective.
Conclusion:
In patients with high risk of N. gonorrhoeae infection, PCR for detection of gonorrhea in synovial fluid could potentially facilitate the diagnostic of gonococcal septic arthritis.
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