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ANSWER 8
(4) Cervical Culture
SALIENT POINTS:
This patient has disseminated gonococcal infection (DGI), which may present as a purulent gonococcal arthritis or a syndrome of tenosynovitis, dermatitis, and polyarthralgia without purulent joint infection.
Fewer than 50% of patients have a true septic arthritis.
In patients with gonococcal arthritis, the synovial fluid Gram stain is positive in only 25% of patients and cultures are positive in only 50%.
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