Gonococcal Arthritis — Genes & Biomarkers
Biomarker / Gene
Bad Score
Free Actions
Non-free Actions
HLA-B27
B*27 allele present
Physiotherapy, monitoring
Immunomodulators, biologics
penA
Mosaic allele detected
Contact tracing, safe sex
Cephalosporin therapy
mtrR
Resistance mutation
Partner notification
Dual antibiotic regimen
CRP
>10 mg/L
Rest, hydration
NSAIDs, IV antibiotics
ESR
>20 mm/hr
Rest, physiotherapy
Anti-inflammatory drugs
Synovial WBC
>50,000/µL
Joint rest, elevation
Aspiration, IV antibiotics
IL-6
>7 pg/mL
Anti-inflammatory diet
IL-6 inhibitors, steroids
Blue rows: Genes (HLA-B27, penA, mtrR) · Gray rows: Biomarkers (CRP, ESR, Synovial WBC, IL-6)