IT HAS become increasingly clear that, although gonococcal and meningococcal infections generally present clinical pictures that are readily identifiable, they can occasionally appear with indistinguishable signs and symptoms.1 We report a case that illustrates this point.
Report of a Case
A 25-year-old man was admitted to the medical service at Georgetown University Hospital with the chief complaint of right ankle pain of two days' duration. He had been well until seven days prior to admission, when he noted the onset of a sore throat. Four days prior to admission, a fever to 40 C and shaking chills developed. Myalgia and arthralgia followed, and he came to the Georgetown University Hospital emergency room. At that time, four days before his eventual admission, he was thought to have a viral illness, and he was sent home after blood was drawn for cultures. Two days before admission, his left ankle became swollen,