Department of Internal Medicine, Division of Medicine, Landstuhl Regional Medical Center, Landstuhl/Kirchberg, Germany.
J Clin Rheumatol. 2012 Aug;18(5):257-8. doi: 10.1097/RHU.0b013e3182614bde.
In Afghanistan in mid June 2011, 2 US Marines developed reactive arthritis manifested by conjunctivitis, urethritis, arthritis, and circinate balanitis. Their symptoms were preceded by an outbreak in their unit of gastroenteritis caused by Shigella species after ingesting contaminated chicken. Gastroenteritis has plagued military operations for millennia. This report emphasizes that personnel can develop reactive arthritis after bouts of gastrointestinal infections that are common in deployed environments. It is highly recommended to maintain vigilance in keeping reactive arthritis on the differential diagnosis in deployed personnel after bouts of gastroenteritis.
2011 年 6 月中旬，在阿富汗，2 名美国海军陆战队员出现反应性关节炎，表现为结膜炎、尿道炎、关节炎和环状阴茎头炎。在他们的部队因食用受污染的鸡肉而感染志贺菌引起肠胃炎暴发之前，他们出现了这些症状。肠胃炎困扰着军事行动已有数千年。本报告强调，在部署环境中常见的胃肠道感染发作后，人员可能会出现反应性关节炎。强烈建议在部署人员肠胃炎发作后，保持警惕，将反应性关节炎作为鉴别诊断的一项。
