Abstract
Post-streptococcal reactive arthritis is an entity that includes joint involvement secondary to oropharyngeal infectious process associated with beta hemolytic group A Streptococcus. We report a clinical case of 43 year-old man, previously healthy, that seven weeks after a tonsillopharyngitis, developed an additive, non-migratory oligoarthritis, with skin lesions. High titers of antistreptolysin O antibodies are documented, with fulfillment of Ayoub and Ahmed proposed criteria for post streptococcal reactive arthritis. The patient presented adequate response to moderate doses of corticosteroids.
Highlights
Post-streptococcal reactive arthritis is an entity that includes joint involvement secondary to oropharyngeal infectious process associated with beta hemolytic group A Streptococcus
We report a clinical case of 43 year-old man, previously healthy, that seven weeks after a tonsillopharyngitis, developed an additive, non-migratory oligoarthritis, with skin lesions
Casado E, Lacámara N, Piñeiro R, Siles A et al Fiebre reumática aguda versus artritis reactiva postestreptocócica ¿Qué diría Jones? J Anpedi 2011;76(3):178
Summary
Hombre de 43 años, previamente sano, con historia inicial de siete semanas de fiebre subjetiva y odinofagia intensa; se diagnosticó amigdalitis aguda y se inició tratamiento con clindamicina 300 mg VO cada 12 horas. Se inició prednisona 20 mg diarios por ocho semanas, con lo cual mejoraron totalmente los síntomas cutáneos y articulares, sin recaídas luego de la reducción paulatina de la dosis, hasta la suspensión a las doce semanas. Etiológicamente se asocia a una infección orofaríngea por Streptococcus pyogenes que desencadena síntomas articulares y dermatológicos (síndrome artritis-dermatitis). Ayoub y Ahmed [7] proponen unos criterios alternos para el diagnóstico de artritis postestreptocócica (tabla 1), teniendo en cuenta las manifestaciones clínicas de la artritis, la evidencia de la infección y la ausencia de otros criterios que encajan en el diagnóstico de fiebre reumática según los criterios de Jones [8,9]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
