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Reiter`s syndrome following Salmonella infection
BMC Infectious Diseases volume 14, Article number: P58 (2014)
Background
Reactive arthritis, Reiter's syndrome is one of the seronegative arthropathies, that can be associated with intestinal infections (Shigella, Salmonella, Yersinia, Campylobacter jejuni, Clostridium difficile), sexual infections (Chlamydia trachomatis, Ureaplasma urealyticum) and lung infections (Chlamydia pneumoniae, Mycoplasma pneumoniae). Reiter's syndrome is an arthritis that occurs 1-4 weeks in response to an infection with a specific organism with urogenital or enteral gate, especially in HLA-B27 positive individuals.
Case report
We present the case of a patient of 34 years, from a family outbreak of food-borne Salmonella infection, presented 10 days after discharge from the Department of Infectious Diseases Oradea after treatment with ampicillin 4 g/day and ciprofloxacin 1 g/day, with a fever, swelling of the right ankle and left knee, accompanied by secondary functional impotence at this level and conjunctivitis. Biological: inflammatory syndrome, minimum elevated liver enzymes, negative rheumatoid factor, normal joint radiography, HLA B 27 positive; abdominal CT showed retroperitoneal inflammatory lymphadenopathy. Under antibiotic therapy, corticosteroid, anti-inflammatory and hepatoprotectives, evolution was undulating, with three episodes of relapse within 6 months.
Conclusion
Antibiotic treatment during both acute infection and Reiter’s syndrome shortened the evolution period in this case.
Consent
Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.
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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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Indrieş, M. Reiter`s syndrome following Salmonella infection. BMC Infect Dis 14, P58 (2014). https://doi.org/10.1186/1471-2334-14-S7-P58
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Keywords
- Conjunctivitis
- Arthropathy
- Clostridium Difficile
- Chlamydia Trachomatis
- Elevated Liver Enzyme
