Reactive Arthritis Caused by Yersinia enterocolitica Enteritis

We report a case of reactive arthritis (ReA) triggered by Yersinia enterocolitica enteritis. A 24-year-old Japanese man developed polyarthritis in the lower limbs. Two weeks prior to these symptoms, he noted diarrhea, right lower abdominal pain and a fever. Y. enterocolitica was not isolated from a...

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Autores principales: Honda, Kazuya, Iwanaga, Nozomi, Izumi, Yasumori, Tsuji, Yoshika, Kawahara, Chieko, Michitsuji, Toru, Higashi, Shuntaro, Kawakami, Atsushi, Migita, Kiyoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5491824/
https://www.ncbi.nlm.nih.gov/pubmed/28502944
http://dx.doi.org/10.2169/internalmedicine.56.7888
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author Honda, Kazuya
Iwanaga, Nozomi
Izumi, Yasumori
Tsuji, Yoshika
Kawahara, Chieko
Michitsuji, Toru
Higashi, Shuntaro
Kawakami, Atsushi
Migita, Kiyoshi
author_facet Honda, Kazuya
Iwanaga, Nozomi
Izumi, Yasumori
Tsuji, Yoshika
Kawahara, Chieko
Michitsuji, Toru
Higashi, Shuntaro
Kawakami, Atsushi
Migita, Kiyoshi
author_sort Honda, Kazuya
collection PubMed
description We report a case of reactive arthritis (ReA) triggered by Yersinia enterocolitica enteritis. A 24-year-old Japanese man developed polyarthritis in the lower limbs. Two weeks prior to these symptoms, he noted diarrhea, right lower abdominal pain and a fever. Y. enterocolitica was not isolated from a stool culture; however, he was diagnosed with ReA based on the colonoscopic findings of a high anti-Y. enterocolitica antibody titer and HLA-B27 antigen positivity. Following treatment with methotrexate and steroids, his arthritis improved. This is the first reported Japanese case of ReA in the English literature after a gastrointestinal infection caused by Y. enterocolitica.
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spelling pubmed-54918242017-06-30 Reactive Arthritis Caused by Yersinia enterocolitica Enteritis Honda, Kazuya Iwanaga, Nozomi Izumi, Yasumori Tsuji, Yoshika Kawahara, Chieko Michitsuji, Toru Higashi, Shuntaro Kawakami, Atsushi Migita, Kiyoshi Intern Med Case Report We report a case of reactive arthritis (ReA) triggered by Yersinia enterocolitica enteritis. A 24-year-old Japanese man developed polyarthritis in the lower limbs. Two weeks prior to these symptoms, he noted diarrhea, right lower abdominal pain and a fever. Y. enterocolitica was not isolated from a stool culture; however, he was diagnosed with ReA based on the colonoscopic findings of a high anti-Y. enterocolitica antibody titer and HLA-B27 antigen positivity. Following treatment with methotrexate and steroids, his arthritis improved. This is the first reported Japanese case of ReA in the English literature after a gastrointestinal infection caused by Y. enterocolitica. The Japanese Society of Internal Medicine 2017-05-15 /pmc/articles/PMC5491824/ /pubmed/28502944 http://dx.doi.org/10.2169/internalmedicine.56.7888 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Honda, Kazuya
Iwanaga, Nozomi
Izumi, Yasumori
Tsuji, Yoshika
Kawahara, Chieko
Michitsuji, Toru
Higashi, Shuntaro
Kawakami, Atsushi
Migita, Kiyoshi
Reactive Arthritis Caused by Yersinia enterocolitica Enteritis
title Reactive Arthritis Caused by Yersinia enterocolitica Enteritis
title_full Reactive Arthritis Caused by Yersinia enterocolitica Enteritis
title_fullStr Reactive Arthritis Caused by Yersinia enterocolitica Enteritis
title_full_unstemmed Reactive Arthritis Caused by Yersinia enterocolitica Enteritis
title_short Reactive Arthritis Caused by Yersinia enterocolitica Enteritis
title_sort reactive arthritis caused by yersinia enterocolitica enteritis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5491824/
https://www.ncbi.nlm.nih.gov/pubmed/28502944
http://dx.doi.org/10.2169/internalmedicine.56.7888
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