Septic arthritis due to penicillin resistant neisseria gonorrhoeae unusual host and pathogen combination

Gonococcal infection is not commonly reported in our area. It should be kept in mind that Nisseria gonorrhoeae may cause septic arthritis resulting in a serious orthopedic problem. Penicellinase producing gonococci are appearing more nowadays. The typical host of this condition is female in the child bearing period. The presentation of such condition may be atypical. During the period 2004 to 2006 we received in AL-RAZI hospital three cases of acute gonococcal arthritis two of them had atypical presentation. We report these three cases with the diagnostic and therapeutic implications

Ochronotic knee arthyropathy

Homogentesic acid oxidase deficiency is associated with a rare metabolic disorder known as alkaptonurea or ochronosis. We report a patient with clinical and radiolgic findings of ochronosis affecting the spine and knee joints. Total joint replacement was performed to control severe right knee pain