Gram – Joint fluid: 3+ (6-10/oif) neutrophils –3+ (11-50/oif) gram-negative diplococci (Neisseria gonorrhoeae) – Shipped August 09, 2021
A simulated joint fluid sample collected from a 31-year-old male with a swollen right knee was sent to category A and C1 laboratories. Participants were expected to report the presence of neutrophils and gram negative diplococci
MAIN EDUCATIONAL POINTS from GS212-1
- N. gonorrhoeae are gram negative diplococci that are typically coffee-bean or kidney-bean shaped with a small central clearing.
- Disseminated gonococcal infection is a common cause of acute polyarthralgias, polyarthritis, or oligoarthritis in young (<40 years of age), otherwise healthy patients.