Evidence map›Paper›PMID 40335761›Full record

ArticleSkeletal radiology2025

Bilateral gonococcal septic tenosynovitis and septic arthritis as a first presentation of HIV in a 53-year-old male.

Fielding S Fischer, Austin T Gregg, F Joseph Simeone, Arvin B Kheterpal

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Skeletal radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fielding S FischerHarvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
Austin T GreggHarvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
F Joseph SimeoneHarvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
Arvin B KheterpalHarvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. akheterpal@mgh.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infection with Neisseria gonorrhoeae is common, primarily affecting the urogenital system. Disseminated gonococcal infection (DGI) through the bloodstream is much less common but has important ramifications on the musculoskeletal system, as it can infect tendon sheaths and joints. We describe a case of bilateral gonococcal septic tenosynovitis and septic arthritis with contiguous osteomyelitis in the ankles/feet of a 53-year-old male whose presentation triggered an immunodeficiency workup revealing HIV. This case highlights challenges associated with the diagnosis of DGI, the need for heightened clinical suspicion in patients presenting with septic tenosynovitis, and the importance of recognizing clinical signs of immunodeficiency.

Indexed as

Arthritis, InfectiousGonorrheaHIV InfectionsTenosynovitisDiagnosis, DifferentialHumansMagnetic Resonance ImagingMaleMiddle AgedImmunodeficiencySeptic arthritisSeptic tenosynovitis

Identifiers

PMID40335761

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.