PT  - JOURNAL ARTICLE
AU  - Amy Kiamos
AU  - Natalie Torrente
AU  - Michael Sands
AU  - Jorge Verdecia
TI  - Right hip gonococcal septic arthritis treatment with successful transition to oral fluoroquinolone
AID  - 10.1136/bcr-2022-251050
DP  - 2022 Sep 01
TA  - BMJ Case Reports
PG  - e251050
VI  - 15
IP  - 9
4099  - http://casereports.bmj.com/content/15/9/e251050.short
4100  - http://casereports.bmj.com/content/15/9/e251050.full
SO  - BMJ Case Reports2022 Sep 01; 15
AB  - We present a case of gonococcal septic arthritis of the right hip diagnosed via synovial fluid cultures. Antimicrobial susceptibility testing of the synovial fluid demonstrated susceptibility to tetracycline, ciprofloxacin, cefixime and ceftriaxone. Our patient was initially treated with ceftriaxone and was successfully de-escalated to oral levofloxacin to complete the treatment. This case is interesting given the rarity of disseminated gonococcal infections in the 21st century and that most clinical isolates of Neisseria gonorrhoeae are increasingly resistant to fluoroquinolones.