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Petronella H. L. M. Geelhoed-Duyvestijn, MD; Jos W. M. van der Meer, MD, PhD; Alexandra T. Lichtendahl-Bernards, MD; Chris J. Mulder, MD; Katherina A. E. Meyers, MD, PhD; Jan T. Poolman, PhD

Arch Intern Med. 1986;146(9):1739-1740.

Abstract
• Four elderly patients (71, 53, 57, and 62 years old) had disseminated gonococcal infection. Three patients presented with suppurative arthritis and the fourth with fever, skin lesions, and malaise. Although the signs and symptoms did not differ from those in the younger age group, the diagnosis was not considered clinically. All gonococci were susceptible to penicillin.

(Arch Intern Med 1986;146:1739-1740)

Author Affiliations
From the Departments of Internal Medicine (Dr Geelhoed-Duyvestijn), Infectious Diseases (Drs van der Meer and Mulder), Medical Microbiology (Dr Lichtendahl-Bernards), and Rheumatology (Dr Meyers), University Hospital, Leiden, the Netherlands; and the Department of Microbiology, University Hospital, Amsterdam (Dr Poolman).

Footnotes
Accepted for publication Jan 20, 1986.

Reprint requests to Department of Internal Medicine, University Hospital, Rijnsburgerweg 10, 2333 AA Leiden, the Netherlands (Dr Geelhoed-Duyvestijn).

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