Persistent or severe course of reactive arthritis following Salmonella enteritidis infection. A prospective study of 9 cases.
During a 7 year-period 9 children (7 boys, 2 girls) with juvenile reactive arthritis (JReA) due to Salmonella enteritidis (Se) were prospectively studied because of an unusual type of onset and/or course of the disease. The mean duration of JReA activity was 9 +/- 3.6 months. The mean follow-up time was 55.2 +/- 17.4 months. JReA presented as any of the three types of juvenile chronic arthritis (JCA), namely, as asymmetrical oligoarthritis, polyarthritis, or systemic JCA in 5, 2, and 2 patients respectively. Two patients had pericarditis and three developed the complete or incomplete Reiter's syndrome during the disease or during a recurrence. Five patients carried the HLA-B27 and 3/5 developed psoriatic lesions 1 to 15 months after the onset of JReA. The presence of HLA-B27 and psoriasis was associated with a more prolonged course of JReA. However, no patient developed late radiological lesions or sacroiliitis during follow-up.
Kanakoudi-Tsakalidou
F
F
A Department of Pediatrics, Aristotle University, Ippokration Hospital, Thessaloniki, Greece.
Pardalos
G
G
Pratsidou-Gertsi
P
P
Kansouzidou-Kanakoudi
A
A
Tsangaropoulou-Stinga
H
H
D000293:Adolescent; D000907:Antibodies, Bacterial / Q000032:analysis; D016918:Arthritis, Reactive / Q000209:etiology* / Q000382:microbiology; D002648:Child; D002675:Child, Preschool; D003967:Diarrhea / Q000150:complications / Q000382:microbiology; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012480:Salmonella Infections / Q000150:complications*; D012477:Salmonella enteritidis / Q000276:immunology
D000907:Antibodies, Bacterial