Doury P, Cristau P, Pattin S, Schwartz J, Roue R, Giroux C
Sem Hop. 1977 Oct 23;53(36):1941-6.
Two cases of post-meningococcal inflammatory arthritis with a relapsing course in one case are reported. The authors then recall the characteristics of the joint manifestations during meningococcal infections in the light of other cases in the literature. These arthropathies are generally aseptic and their resistance to antibiotics is remarkable, whilst non- steroid anti-inflammatory drugs, even used alone as in one of the cases reported here, are remarkably effective. The pathogenesis of these cases of arthritis is not clear: it seems however according to Greenwood and Whittle that they are manifestations of immuno-allergic type. This "post-meningococcal rheumatism" may be compared to the gonococcal rheumatism of certain cases of Reiter's syndrome.
本文报告了两例脑膜炎球菌感染后炎症性关节炎病例，其中一例病程呈复发型。作者随后结合文献中的其他病例，回顾了脑膜炎球菌感染期间关节表现的特征。这些关节病通常为无菌性，对抗生素具有显著抗性，而非甾体抗炎药，即便如本文报告的其中一例那样单独使用，也具有显著疗效。这些关节炎病例的发病机制尚不清楚：然而，根据格林伍德和惠特尔的观点，它们似乎是免疫过敏型表现。这种“脑膜炎球菌感染后风湿症”可与某些赖特综合征病例中的淋球菌性风湿症相比较。
