Authors: Julius Birnbaum John G Bartlett Allan C Gelber
Publish Date: 2007/09/28
Volume: 27, Issue: 2, Pages: 253-255
Abstract
Reactive arthritis usually presents as a sterile inflammatory asymmetric oligoarthritis affecting large lower extremity joints Extraarticular features conjunctivitis uveitis enthesopathy urethritis balanitis keratoderma blenorrhagicum may occur Common causes of enteric reactive arthritis are preceding infections attributable to Salmonella Shigella Campylobacter and Yersinia In contrast Clostridium difficile is an uncommon cause of reactive arthritis with only ∼40 reported cases We describe a patient with an intense additive asymmetric oligoarthritis after an antecedent C difficile infection The potential contribution of C difficile to more insidious cases of undifferentiated oligoarthritis is discussed with emphasis on corresponding therapeutic interventions
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