A Case of Poststreptococcal Reactive Arthritis.
- Author:
Eun Ha PARK
1
;
Yeun Sil DO
;
Jeong Chae YANG
;
Mira KANG
;
Hyun Joo SUH
;
Sook In JUNG
;
Jun Seong SON
;
Hyun Kyun KI
;
Won Sup OH
;
Kyong Ran PECK
;
Jae Hoon SONG
Author Information
1. Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. krpeck@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
Poststreptococcal reactive arthritis;
Streptococcal infection;
Rheumatic fever
- MeSH:
Adult;
Ankle;
Arthritis;
Arthritis, Reactive*;
Diagnosis, Differential;
Erythema Multiforme;
Erythema Nodosum;
Fever;
Humans;
Knee;
Leg;
Myocarditis;
Pharyngitis;
Pharynx;
Prednisolone;
Rheumatic Fever;
Streptococcal Infections;
Streptococcus;
Transaminases
- From:
Infection and Chemotherapy
2004;36(6):389-393
- CountryRepublic of Korea
- Language:Korean
-
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.
