{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T10:58:59Z","timestamp":1790938739831,"version":"4.1.0"},"reference-count":0,"publisher":"Sociedad Espanola de Quimioterapia","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Esp Quimioter"],"published-print":{"date-parts":[[2026,9,29]]},"abstract":"<jats:p>Introducci\u00f3n: Ante el aumento actual de la incidencia de la infecci\u00f3n por Neisseria gonorrhoeae, cabe esperar asimismo un incremento de las formas diseminadas de la enfermedad. Dentro de la enfermedad gonoc\u00f3cica diseminada, la artritis gonoc\u00f3cica presenta peculiaridades cl\u00ednicas, diagn\u00f3sticas y terap\u00e9uticas. \n\n\n\nM\u00e9todos: Se realiz\u00f3 una b\u00fasqueda retrospectiva de muestras de l\u00edquido articular con resultado positivo para N. gonorrhoeae mediante cultivo o t\u00e9cnicas de biolog\u00eda molecular entre 2013 y 2023 en varios hospitales del norte de Espa\u00f1a. Posteriormente, se realiz\u00f3 un an\u00e1lisis descriptivo.\n\n\n\nResultados: Se analizaron 15 pacientes. La monoartritis fue la presentaci\u00f3n m\u00e1s frecuente (60 %), seguida de la poliartritis, con afectaci\u00f3n predominante de la mu\u00f1eca o la rodilla. Las artralgias o la tenosinovitis en otras localizaciones, especialmente en la mu\u00f1eca, fueron frecuentes. La identificaci\u00f3n microbiol\u00f3gica se realiz\u00f3 mediante cultivo convencional (12\/14) o PCR (7\/7). En el 30 % de los casos fue necesaria la evacuaci\u00f3n ecoguiada repetida o la limpieza quir\u00fargica. La duraci\u00f3n media de la antibioterapia intravenosa fue de 12 d\u00edas y la de la antibioterapia total, de 22 d\u00edas. La respuesta fue favorable en todos los casos.\n\n\n\nConclusi\u00f3n: En el contexto actual de incremento de la incidencia de la infecci\u00f3n gonoc\u00f3cica, en los pacientes con monoartritis o poliartritis s\u00e9ptica y tenosinovitis concomitante, especialmente con afectaci\u00f3n radiocarpiana, debe considerarse la posibilidad de artritis gonoc\u00f3cica. Las t\u00e9cnicas de biolog\u00eda molecular pueden ser relevantes para la identificaci\u00f3n de N. gonorrhoeae en casos sospechosos. La evoluci\u00f3n cl\u00ednica puede ser variable y requerir limpieza quir\u00fargica y tratamientos m\u00e1s prolongados.<\/jats:p>","DOI":"10.37201\/req\/158.2026","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T15:12:19Z","timestamp":1786374739000},"page":"409","source":"Crossref","is-referenced-by-count":0,"title":["Artritis gonoc\u00f3cica, ni tan frecuente ni tan sencilla. Descripci\u00f3n cl\u00ednica de casos diagnosticados en el norte de Espa\u00f1a entre 2013 y 2023"],"prefix":"10.37201","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9218-7786","authenticated-orcid":false,"given":"Laura","family":"Guio Carri\u00f3n","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7206-0366","authenticated-orcid":false,"given":"Mar\u00eda Jos\u00e9","family":"Blanco Vidal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7895-830X","authenticated-orcid":false,"given":"Leire","family":"Toscano Ruiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8437-8200","authenticated-orcid":false,"given":"Juan Carlos","family":"Gainzarain Arana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9651-6815","authenticated-orcid":false,"given":"Marta","family":"Fern\u00e1ndez-Sampedro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3532-4681","authenticated-orcid":false,"given":"Miguel \u00c1ngel","family":"Goenaga S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4693-416X","authenticated-orcid":false,"given":"V\u00edctor","family":"Polo Sanricardo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9455-9945","authenticated-orcid":false,"given":"Bego\u00f1a","family":"Vilar Achabal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3640-3640","authenticated-orcid":false,"given":"Marina","family":"Fern\u00e1ndez Torres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1716-0329","authenticated-orcid":false,"given":"Daniel","family":"Pablo Marcos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2790-8635","authenticated-orcid":false,"given":"Malen","family":"Aguirregabiria Padilla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0095-7430","authenticated-orcid":false,"given":"Jos\u00e9 Luis","family":"D\u00edaz de Tuesta del Arco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sociedad de Enfermedades Infecciosas del Norte","family":"(SEINORTE)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"23328","published-online":{"date-parts":[[2026,8,10]]},"container-title":["Revista Espa\u00f1ola de Quimioterapia"],"original-title":[],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T10:36:09Z","timestamp":1790937369000},"score":1,"resource":{"primary":{"URL":"https:\/\/revespquimioterapia.com\/preview\/artritis-gonococica-ni-tan-frecuente-ni-tan-sencilla-descripcion-clinica-de-casos-diagnosticados-en-el-norte-de-espana-entre-2013-y-2023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,10]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,8,10]]},"published-print":{"date-parts":[[2026,9,29]]}},"URL":"https:\/\/doi.org\/10.37201\/req\/158.2026","relation":{},"ISSN":["0214-3429","1988-9518"],"issn-type":[{"value":"0214-3429","type":"print"},{"value":"1988-9518","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,10]]}}}