Which site is not commonly associated with neonatal gonorrheal infection?

Neonatal gonorrheal infection primarily occurs through vertical transmission from an infected mother to her infant during delivery. The most commonly affected site is the conjunctiva, which can lead to conjunctivitis, often referred to as ophthalmia neonatorum. This condition typically results from exposure to Neisseria gonorrhoeae during passage through the birth canal.

The genitals can also be affected, but this is less commonly referenced as a direct result of gonorrhea in neonates since the primary concern is with ocular infection rather than genitourinary manifestations at birth. Hence, while the genitals can be involved if there's significant maternal infection, it is not as distinctly associated with neonatal presentations as other sites.

Meninges and joints are locations that can be involved in disseminated gonococcal infection, particularly in older children or adults; however, in neonates, these complications are rare. The primary focus in newborns regarding gonococcal infection largely centers on the conjunctiva due to the risk of severe irritation and potential blindness if not treated promptly.

Thus, the genitals, while they can be involved, are not typically highlighted as a primary manifestation in neonatal cases when compared to the conjunctiva, making it the least commonly associated site with