Canović Predrag, Gajović Olgica, Mijailović Zeljko
Srp Arh Celok Lek. 2004 Mar-Apr;132(3-4):104-7. doi: 10.2298/sarh0404104c.
Two patients with Reiter's syndrome, after Salmonella infection were treated on the Infections disease ward at Clinical hospital center in Kragujevac. In the first patient, ten days after the onset of Salmonella infection, signs of edema and pain in the right ankle occurred, accompanied by expressed conjunctivitis. Within next two months consecutive metatarsophalanges changes joint of the right foot have appeared. In the second patient, two weeks after the onset of Salmonella infection, edema of the left hand joints and a week later edema of the right hand and right ankle joints appeared. In both patients inflammatory syndrome was expressed (high erythrocyte sedimentation rates, fibrinogen, C-reactive protein) along with negative rheumatoid factors and positive antigen HLA-B27. Outcome of the disease in both cases was favourable upon receiving nonsteroid antirheumatic therapy. Signs of arthritis disappeared after three months. No signs of recurrent arthritis have been seen during the next four years in the first and next two years in the second patient.
两名赖特综合征患者在感染沙门氏菌后,在克拉古耶瓦茨临床医院中心的传染病病房接受治疗。第一名患者在沙门氏菌感染发病十天后,右脚踝出现水肿和疼痛迹象,并伴有明显的结膜炎。在接下来的两个月内,右脚连续出现跖趾关节变化。第二名患者在沙门氏菌感染发病两周后,左手关节出现水肿,一周后右手和右脚踝关节出现水肿。两名患者均表现出炎症综合征(红细胞沉降率、纤维蛋白原、C反应蛋白升高),类风湿因子阴性,抗原HLA - B27阳性。接受非甾体抗风湿治疗后,两名患者的病情均好转。三个月后关节炎症状消失。在接下来的四年里,第一名患者未出现复发性关节炎迹象,在接下来的两年里,第二名患者也未出现复发性关节炎迹象。