Atypical Presentation of Soft-Tissue Mass With Gonococcal Infection in the Hand

Abstract not available. Introduction provided instead.

Neisseria gonorrhoeae infection is a common sexually transmitted disease (STD) that may cause a disseminated infection. Some patients with disseminated gonococcal infection (DGI) have tenosynovitis as its only manifestation, most often involving the extensor tendons of the hand, wrist, or ankle.¹ The typical presentation of DGI is fever, chills, and generalized malaise, but symptomatic genital infection is uncommon in both males and females.² DGI occurs in 0.1% to 0.3% of patients infected with N gonorrhoeae,³ and approximately two thirds of patients with DGI develop  tenosynovitis.⁴ We present an unusual case of gonococcal flexor tenosynovitis presenting as a soft-tissue mass.