A Case of Poststreptococcal Reactive Arthritis
Infection and Chemotherapy
;
: 389-393, 2004.
Article
in Korean
| WPRIM
| ID: wpr-721759
ABSTRACT
Poststreptococcal reactive arthritis (PSRA) is associated with recent streptococcal infections. However, PSRA is distinct from acute rheumatic fever by its clinical manifestations non-migrating arthritis, erythema nodosum or erythema multiforme, and transient elevation of serum transaminases. We experienced a 33-year-old man who presented with fever, arthritis of both knees and ankles, and erythema nodosums on extensor surfaces of lower legs which developed 6 days after the onset of pharyngitis symptoms. Blood and urine cultures were negative. Throat culture was negative for group A beta-hemolytic streptococcus. The ASO titers increased up to 2080 IU/mL in sequential monitoring. The result of bone scan was compatible to arthritis of both knees and ankles. There were no signs or symptom of carditis. He showed clinical improvement with anti-inflammatory drugs (naproxen 1,000 mg/day and prednisolone 7.5 mg/d). PSRA should be included in the differential diagnosis of patients presenting with arthritis combined with fever.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pharynx
/
Arthritis
/
Rheumatic Fever
/
Streptococcal Infections
/
Streptococcus
/
Prednisolone
/
Pharyngitis
/
Erythema Multiforme
/
Arthritis, Reactive
/
Diagnosis, Differential
Type of study:
Diagnostic study
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Infection and Chemotherapy
Year:
2004
Type:
Article
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