[Triggering bacterial infections in reactive arthritis].
108 patients, 75 men and 33 women, mean age 35 years, with reactive arthritis were studied by microbiological and serological methods for identification of a probable triggering infection. In 32 of the patients a Chlamydia infection, in 30 patients--Yersinia infection, in 7 patients--Staphylococcus infection and in 4 patients--Shigella infection were found. In 27 patients no infectious agent was found but in 4 of them a positive CBR for chlamydia in the sex partner was found. The course of the arthritis is acute or subacute, oligo- or polyarthritis, involving mainly the large joints of the legs. The clinical picture of the arthritis is similar for all etiological forms. This implies a systematic microbiological and serological examination of the patients in order to find out the triggering infection and its appropriate treatment with antibiotics.
Stoilov
R
R
Andreev
T
T
Martinov
S
S
Natskova
V
V
Trŭnkova
V
V
D001170:Arthritis, Infectious / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D001419:Bacteria / Q000302:isolation & purification; D001424:Bacterial Infections / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D002031:Bulgaria / Q000453:epidemiology; D015796:HLA-B27 Antigen / Q000097:blood; D006801:Humans; D011446:Prospective Studies
D015796:HLA-B27 Antigen
Otkliuchvashti bakterialni infektsii pri reaktivnite artriti.