How is disseminated gonococcal infection diagnosed
Much like nongonococcal septic arthritis, in DGI, leukocytosis and elevated ESR/CRP are common but nonspecific.
Synovial fluid WBC counts range from 34,000 to 68,000 cells/mm 3 with a mean of 50,000/mm 3 .
NAATs can detect N. gonorrhoeae DNA in culture-negative synovial fluid as well as other sites (urine, endocervical, vaginal, and urethra in men).
