**Core Concept**
Gonococcal infections can lead to various complications, including disseminated gonococcal infection (DGI), which occurs when the bacteria spread through the bloodstream. Metastatic complications of gonococcal infections involve the spread of the bacteria to other parts of the body, often causing systemic inflammation and tissue damage.

**Why the Correct Answer is Right**
Disseminated gonococcal infection can cause various symptoms, including skin lesions, arthritis, and endocarditis. However, among the metastatic complications of gonococcal infections, the following are commonly recognized:

* Skin lesions (e.g., petechiae, papules, pustules)
* Arthritis (e.g., septic arthritis of the joints)
* Endocarditis (infection of the heart valves)
* Meningitis (infection of the membranes surrounding the brain and spinal cord)

**Why Each Wrong Option is Incorrect**
* **Option A:** This option is incorrect because gonococcal infections are known to cause skin lesions as a metastatic complication.
* **Option B:** This option is incorrect because gonococcal infections can cause arthritis as a metastatic complication.
* **Option D:** This option is incorrect because gonococcal infections can cause meningitis as a metastatic complication.

**Clinical Pearl / High-Yield Fact**
It's essential to recognize the classic triad of symptoms associated with disseminated gonococcal infection, which includes skin lesions, arthritis, and tenosynovitis (inflammation of the tendons and their surrounding synovial membranes).

**Correct Answer: C.**