Reactive arthritis induced by bacterial vaginosis: prevention with an effective treatment
IJPM-International Journal of Preventive Medicine. 2013; 4 (7): 841-844
in English
| IMEMR
| ID: emr-138518
ABSTRACT
We report a 42-year-old woman with reactive arthritis induced by bacterial vaginosis who presented with oligoarthritis with an additive form, arthralgia, and enthesitis. She hasn't had a history of diarrhea or dysuria or vaginal secretion, or sexually transmitted infections [STIs]. The laboratory tests were normal except for a high erythrocyte sedimentation rate [ESR]. Her pelvic examination revealed homogeneous white grey and malodorous vaginal discharge on the vaginal wall and Pap smear and Gram-stained smear of vaginal swab was consistent with bacterial vaginosis. She responded to metronidazole therapy and her six-month follow up hasn't shown recurrence of arthritis. As reactive arthritis [ReA] is a paradigm of a rheumatic disease in which the initiating infectious cause is known, so early use of antimicrobial drugs may prevent the development of musculoskeletal symptoms which are triggered by infections
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Blood Sedimentation
/
Rheumatic Diseases
/
Vaginosis, Bacterial
/
Arthritis, Reactive
/
Arthralgia
/
Vaginal Discharge
/
Bodily Secretions
/
Metronidazole
Type of study:
Case report
Limits:
Female
/
Humans
Language:
English
Journal:
Int. J. Prev. Med.
Year:
2013
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