 Silver nitrate is no longer used in the United States.Disseminated gonococcal infections can occur when "N. gonorrhoeae" enters the bloodstream, often spreading to the joints and causing a rash (dermatitis-arthritis syndrome).Dermatitis-arthritis syndrome results in joint pain (arthritis), tendon inflammation (tenosynovitis), and painless non-pruritic (non-itchy) dermatitis.