{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:56Z","timestamp":1756339616721,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,9,9]]},"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>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 <jats:italic>Neisseria gonorrhoeae<\/jats:italic> are increasingly resistant to fluoroquinolones.<\/jats:p>","DOI":"10.1136\/bcr-2022-251050","type":"journal-article","created":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T13:10:33Z","timestamp":1663333833000},"page":"e251050","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Right hip gonococcal septic arthritis treatment with successful transition to oral fluoroquinolone"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2156-8917","authenticated-orcid":false,"given":"Amy","family":"Kiamos","sequence":"first","affiliation":[{"name":"Internal Medicine, University of Florida Health Jacksonville, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9765-8217","authenticated-orcid":false,"given":"Natalie","family":"Torrente","sequence":"additional","affiliation":[{"name":"Internal Medicine, University of Florida Health Jacksonville, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Sands","sequence":"additional","affiliation":[{"name":"Infectious Disease, University of Florida College of Medicine Jacksonville, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9609-7366","authenticated-orcid":false,"given":"Jorge","family":"Verdecia","sequence":"additional","affiliation":[{"name":"Infectious Disease, University of Florida College of Medicine Jacksonville, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,9,16]]},"reference":[{"key":"2025082713205296000_15.9.e251050.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198506273122606"},{"key":"2025082713205296000_15.9.e251050.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-008-0623-7"},{"key":"2025082713205296000_15.9.e251050.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1521-6942(02)00125-0"},{"key":"2025082713205296000_15.9.e251050.4","first-page":"1932","article-title":"Gonococcal septic arthritis of the hip","volume":"18","author":"Lee","year":"1991","journal-title":"J Rheumatol"},{"key":"2025082713205296000_15.9.e251050.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-857X(05)70011-9"},{"key":"2025082713205296000_15.9.e251050.6","unstructured":"Sexually transmitted disease surveillance 2020. centers for disease control and prevention, 2022. 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