Which of the following combinations constitutes the disseminated gonococcal infection triad?

• A. Fever; Rash; Arthritis
• B. Dermatitis; Migratory polyarthritis; Tenosynovitis
• C. Headache; Nausea; Arthralgia
• D. Urethritis; Conjunctivitis; Myalgia

Answer: (B)

Disseminated gonococcal infection typically shows a stomping pattern where the infection has spread through the bloodstream to skin and joints. The hallmark combination is dermatitis, migratory polyarthritis, and tenosynovitis. Dermatitis presents as small pustules or vesicles on the skin, often on the hands or feet. The arthritis is migratory, involving multiple joints as the inflammation shifts from one joint to another. Tenosynovitis means inflammation of the tendon sheaths, a common accompanying feature in DGI, especially in the wrists, hands, and ankles. This specific triad helps distinguish DGI from localized gonococcal infections that affect only a single mucosal site or a single joint.