[2] It is characterized by fever, tender hemorrhagic pustules on the extremities or the trunk, migratory polyarthritis, and tenosynovitis.

[6] Risk factors include female sex, sexual promiscuity, and infection with resistant strains of Neisseria gonorrhoeae.

[5] Neisseria gonorrhoeae is a gram negative diplococcus (also referred to as "Gonococcus") and a pathogenic bacteria.

[2] Invasion of the host cells is made possible due to virulence factors such as Pili, LOS, Opa, and others.

[2] Similarly, these virulence factors can be used for avoiding the host immune system, which may explain prolonged infection, bacterial resistance, and gonococcemia.