Clostridium difficile: an under-recognized cause of reactive arthritis?

Research output: Contribution to journalArticle

Abstract

Reactive arthritis usually presents as a sterile, inflammatory, asymmetric oligoarthritis, affecting large lower extremity joints. Extra-articular 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 approximately 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.

Original languageEnglish (US)
Pages (from-to)253-255
Number of pages3
JournalClinical Rheumatology
Volume27
Issue number2
DOIs
StatePublished - Feb 2008

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Reactive Arthritis
Clostridium difficile
Balanitis
Joints
Clostridium Infections
Yersinia
Urethritis
Shigella
Campylobacter
Conjunctivitis
Uveitis
Salmonella
Lower Extremity
Infection
Therapeutics

ASJC Scopus subject areas

  • Rheumatology
  • Immunology

Cite this

Clostridium difficile : an under-recognized cause of reactive arthritis? / Birnbaum, Julius; Bartlett, John; Gelber, Allan.

In: Clinical Rheumatology, Vol. 27, No. 2, 02.2008, p. 253-255.

Research output: Contribution to journalArticle

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