Infect Chemother.  2004 Dec;36(6):389-393.

A Case of Poststreptococcal Reactive Arthritis

• Park EH
• Do YS
• Yang JC
• Kang M
• Suh HJ
• Jung SI
• Son JS
• Ki HK
• Oh WS
• Peck KR
• Song JH

Abstract

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.

Keyword

Poststreptococcal reactive arthritis; Streptococcal infection; Rheumatic fever

MeSH Terms

Adult
Ankle
Arthritis
Arthritis, Reactive*
Diagnosis, Differential
Erythema Multiforme
Erythema Nodosum
Fever
Humans
Knee
Leg
Myocarditis
Pharyngitis
Pharynx
Prednisolone
Rheumatic Fever
Streptococcal Infections
Streptococcus
Transaminases
Prednisolone
Transaminases