Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


#Gonococcal Affections of Joints.#--These include all forms of joint
lesion occurring in association with gonorrhoeal urethritis,
vulvo-vaginitis, or gonorrhoeal ophthalmia. They may develop at any stage
of the urethritis, but are most frequently met with from the eighteenth
to the twenty-second day after the primary infection, when the organisms
have reached the posterior urethra; they have been observed, however,
after the discharge has ceased. There is no connection between the
severity of the gonorrhoea and the incidence of joint disease. In women,
the gonorrhoeal nature of the discharge must be established by
bacteriological examination.

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