All of the following are commonly involved in disseminated gonococcal infection except: September 2006

Ans. C: Brain Signs and symptoms of disseminated gonococcal infection (gonococcaemia) include: Joint or tendon pain with decreased mobility. The knee is the most common site of purulent gonococcal ahritis. Skin rash - this is a common complaint in about one quaer of patients with disseminated gonococcal infection. On examination, rash is usually present in all patients with the disease. Usually small papules that turn into pustules on broad erythematous bases and necrotic centres. It occur on the trunk, limbs, palms and soles (usually spares the face, scalp and mouth) Haemorrhagic lesions, erythema nodosum, uicaria, and erythema multiforme occur less frequently. Fever, chills and malaise Other organs involved are liver and hea. It is impoant to remember that patients presenting with disseminated gonococcal infection may not show any localised signs and or symptoms at the primary site of mucosal infection.