Aminzadeh Zohreh, Fadaeian Afsaneh
Professor of Medicine, Shahid Beheshti University of Medical Sciences Consultant ID Physician, Loghman Hakim Hospital, Tehran, Iran.
Int J Prev Med. 2013 Jul;4(7):841-4.
We report a 42-year-old woman with reactive arthritis induced by bacterial vaginosis who presented with oligoarthritis with an additive form, arthralgia, and enthesitis. She hasn't had a history of diarrhea or dysuria or vaginal secretion, or sexually transmitted infections (STIs). The laboratory tests were normal except for a high erythrocyte sedimentation rate (ESR). Her pelvic examination revealed homogeneous white grey and malodorous vaginal discharge on the vaginal wall and Pap smear and Gram-stained smear of vaginal swab was consistent with bacterial vaginosis. She responded to metronidazole therapy and her six-month follow up hasn't shown recurrence of arthritis. As reactive arthritis (ReA) is a paradigm of a rheumatic disease in which the initiating infectious cause is known, so early use of antimicrobial drugs may prevent the development of musculoskeletal symptoms which are triggered by infections.
我们报告了一名42岁患有细菌性阴道病诱发的反应性关节炎的女性，她表现为少关节炎（呈叠加型）、关节痛和附着点炎。她既往没有腹泻、排尿困难、阴道分泌物异常或性传播感染（STIs）的病史。除红细胞沉降率（ESR）升高外，实验室检查均正常。她的盆腔检查发现阴道壁有均匀的灰白色且有异味的阴道分泌物，阴道拭子的巴氏涂片和革兰氏染色涂片结果与细菌性阴道病相符。她对甲硝唑治疗有反应，六个月的随访未显示关节炎复发。由于反应性关节炎（ReA）是一种已知起始感染病因的风湿性疾病范例，因此早期使用抗菌药物可能预防由感染引发的肌肉骨骼症状的发展。
