Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


As a complication of ophthalmia, the joint lesions are met with in
infants, and occur more commonly towards the end of the second or during
the third week.


The gonococcus is carried to the joint in the blood-stream and is first
deposited in the synovial membrane, in the tissues of which it can
usually be found; it may be impossible to find it in the exudate within
the joint. The joint lesions may be the only evidence of metastasis, or
they may be part of a general infection involving the endocardium,
pleura, and tendon sheaths.

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