淋菌性菌血症的临床综合征有二种,一种为严重的并常为致命的心内膜炎;另一种较良性,以发热、关节痛和皮肤红疹为特征。作者报道1例淋菌性关节炎病例的变化。患者男性,24岁。因呕吐、上腹痛,全身不适及咳嗽2周入院。体温39.9℃,上腹部有压痛。血白细胞计数16,600/mm~3(中性88%),无异种亲和性抗 There are two clinical syndromes of gonococcal bacteremia, one is severe and often fatal endocarditis; the other is benign and is characterized by fever, joint pain and skin rashes. The authors report a case of gonococcal arthritis changes. Male patient, 24 years old. Due to vomiting, abdominal pain, general malaise and cough 2 weeks admitted. Body temperature 39.9 ℃, upper abdominal tenderness. Blood white blood cell count 16,600 / mm ~ 3 (neutral 88%), no heterophilic resistance