Gout refractory to allopurinol and colchicine
I would be certain that you do have gout ratherthan merely some other form of arthritis. Wasthere a confirmatory bichromatic lab test?
Did you have any synovial fluid aspirated andtested for microbial agents such as P. multocida?
You may need to monitor your Uric Acid levels andperhaps take a larger dose of meds for a brieftime period to bring those levels down.