title: [Protracted rheumatologic manifestations in travelers].
abstract: Protracted rheumatological manifestations especially arthralgia and or polyarthritis may occur as a consequence of a wide range of pathogens including viral, bacterial and parasites. Few pathogenetic mechanisms leading to these clinical presentations have been suggested including a direct invasion of the synovial cells by the pathogens, immune complex formation, and others. The natural history of infectious arthritis/arthralgia is altogether benign, with full recovery and without sequelae, albeit sometimes very long. Diagnosis of infections-related arthralgia/arthritis is important since these diseases have a better prognosis, and can relieve anxiety among patients who are afraid of developing a chronic rheumatic disease. Since many patients will seek medical advice with these chronic complaints a long time after travel, physicians should be aware of the possible association between these complaints and remote travel. Thus, travel history should be mandatory, even in a rheumatologic setting.
authors.affiliation: Department of Medicine A,C, Chaim Sheba Medical Center, Tel Hashomer.
authors.forename: Tali
authors.initials: T
authors.lastname: Levy
authors.forename: Shaye
authors.initials: S
authors.lastname: Kivity
authors.forename: Eli
authors.initials: E
authors.lastname: Schwartz
mesh_terms: D018771:Arthralgia / Q000175:diagnosis* / Q000382:microbiology / Q000469:parasitology; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D011379:Prognosis; D012216:Rheumatic Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000469:parasitology; D014195:Travel