This case highlights the importance of diagnosing and ruling out the relationship between infections and the possibility of generating this condition.
Reactive arthritis occurs most often in men between the ages of 20 and 40, although it can sometimes affect women. Photo: Case Report.
This clinical case reveals that a 40-year-old man with no known medical history presented Arthritis Reactive, following presenting with diarrhea and secretion urethral 7 days before the onset of your symptoms related to the condition.
The specialists indicated that following the examination, yellow pustules with hyperkeratosis compatible with keratoderma were observed. gonorrhagic on plantar surfaces of his feet; as well as psoriatic skin lesions on the scalp, trunk, and back of the hands, as well as pitting, hyperkeratosis, discoloration, and distal onycholysis in some nails.
Other findings, according to the report, included that the patient had conjunctivitis, migratory glossitis, swelling of both knees and right ankle and balanitis circinata. The level of C protein reactive was 59 mg per liter, and the urinalysis was positive for sterile pyuria.
Patient injuries. Photo: New England Journal
The results of a synovial fluid analysis of the left knee were consistent with noninfectious inflammatory arthritis. rheumatoid factor tests, Chlamydia trachomatis and other infectious agents they were negative.
After reviewing related cases in the medical literature, he was diagnosed with reactive arthritis. “The patient was referred to the rheumatology clinic, and the subsequent study for HLA-B27 was positive. following 5 months of treatment with agents nonsteroidal anti-inflammatory drugs, systemic glucocorticoids, and sulfasalazine, the patient’s symptoms remitted,” at the Clinical Hospital Center of RiverRijeka, Croatia.
It is important to add that the secretion urethra is found almost exclusively in men. The main germs involved are Neisseria gonorrhoeae (gonococcal) and Chlamydia trachomatis (clamidiasis).
secretion urethra must be confirmed by clinical examination. In men, gently massage the urethra if the urethral discharge it is not visible. A urethral discharge should also be sought in patients who complain of pain/irritation during urination (dysuria).
Reactive Arthritis
It is a type of arthritis that occurs following an infection. It can also cause inflammation of the eyes, skin, reproductive system, and urinary system.
Reactive arthritis develops as a reaction to an infection in the body, usually in the intestines, genitals, or urinary tract. You may not be aware of the triggering infection if it causes no symptoms or if they are mild.
Many bacteria can cause reactive arthritis. Some are transmitted sexually, while others are transmitted through food. The most common include the following:
*”Campylobacter”
*”Clostridioides difficile”
*”Escherichia coli”
*Salmonella
*Yersinia
Reactive arthritis is not contagious. However, the bacteria that cause it can be transmitted sexually or through contaminated food. Only some of the people who are exposed to these bacteria develop reactive arthritis.
Access the case here.
