Department of Microbiology, Pathology NSW, Bella Vista, Sydney, Australia.
Sex Transm Dis. 2012 Jan;39(1):79-80. doi: 10.1097/OLQ.0b013e318235b256.
We report the first case of reactive arthritis associated with lymphogranuloma venereum (LGV) proctitis in Australia. Since 2004, LGV proctitis has emerged as an important infection worldwide in men who have sex with men. While reactive arthritis is usually associated with serovars D to K of Chlamydia trachomatis, association with LGV serovars is historically rare. Screening for chlamydial infection should be considered in this group if they present with an acute arthritis otherwise the condition could go undiagnosed. Asymptomatic infections are being increasingly reported in Europe and prolonged treatment is required to ensure a cure.
我们报告了澳大利亚首例与淋菌性直肠炎相关的反应性关节炎病例。自 2004 年以来，淋菌性直肠炎已成为全球男男性行为者中一种重要的感染。虽然反应性关节炎通常与沙眼衣原体血清型 D 至 K 相关，但与淋菌血清型的关联在历史上较为罕见。如果这群人出现急性关节炎，应考虑筛查衣原体感染，否则病情可能会被漏诊。目前在欧洲越来越多地报告了无症状感染，需要延长治疗以确保治愈。
