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KMID : 0984720040360060389
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Infection and Chemotherapy
2004 Volume.36 No. 6 p.389 ~ p.393
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A Case of Poststreptococcal Reactive Arthritis.
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Park Eun-Ha
Do Yeun-Sil
Yang Jung-Chae
Kang Mi-Ra
Suh Hyun-Joo
Jung Sook-In
Son Jun-Seong
Ki Hyun-Kyun
Oh Won-Sup
Peck Kyong-Ran
Song Jae-Hoon
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Abstract
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Poststreptococcal reactive arthritis (PSRA) is associated with recent streptococcal infections. However, PSRA is distinct from acute rheumatic fever by its clinical manifestations: non-migrating arthritis, erythema nodosum or erythema multiforme, and transient elevation of serum transaminases. We experienced a 33-year-old man who presented with fever, arthritis of both knees and ankles, and erythema nodosums on extensor surfaces of lower legs which developed 6 days after the onset of pharyngitis symptoms. Blood and urine cultures were negative. Throat culture was negative for group A beta-hemolytic streptococcus. The ASO titers increased up to 2080 IU/mL in sequential monitoring. The result of bone scan was compatible to arthritis of both knees and ankles. There were no signs or symptom of carditis. He showed clinical improvement with anti-inflammatory drugs (naproxen 1,000 mg/day and prednisolone 7.5 mg/d). PSRA should be included in the differential diagnosis of patients presenting with arthritis combined with fever.
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KEYWORD
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Poststreptococcal reactive arthritis, Streptococcal infection, Rheumaitc fever
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