Polyarthritis following a streptococcal infection, a doctor's dilemma in treatment: a case report

INTRODUCTION: Acute Rheumatic Fever and Post Streptococcal Reactive Arthritis in adults can present in a similar manner. CASE PRESENTATION: A 25 year old Caucasian male developed a transient crippling polyarthritis one month following treatment of a sore throat. The patient was found to meet criteri...

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Detalles Bibliográficos
Autores principales: Grover, Vanya, Dibner, Robin
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803937/
https://www.ncbi.nlm.nih.gov/pubmed/20062657
http://dx.doi.org/10.1186/1757-1626-2-9140
Descripción
Sumario:INTRODUCTION: Acute Rheumatic Fever and Post Streptococcal Reactive Arthritis in adults can present in a similar manner. CASE PRESENTATION: A 25 year old Caucasian male developed a transient crippling polyarthritis one month following treatment of a sore throat. The patient was found to meet criteria for both Acute Rheumatic Fever and Post Streptococcal Reactive Arthritis, leading to the question of the role of antibiotic prophylaxis long term. CONCLUSION: Due to overlap in the diagnostic criteria for Acute Rheumatic Fever and Post Streptococcal Reactive Arthritis in adults, the need for penicillin prophylaxis should be individualized based on exposure risk.

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