Alım Bülent, Çetinel Sinan, Servi M Alperen, Bostancı Fahrettin, Bingöl Mehmet Ozan
Clinic of Physical Medicine and Rehabilitation, Bayburt State Hospital, Bayburt, Turkey.
Clinic of Physical Medicine and Rehabilitation, Cumhuriyet University Hospital, Sivas, Turkey.
Case Rep Rheumatol. 2017;2017:3293060. doi: 10.1155/2017/3293060. Epub 2017 May 21.
Reactive arthritis is an inflammatory joint disease that develops after an infection and it usually occurs following a gastrointestinal or genitourinary system infection and it belongs to the family of arthritis called "spondyloarthritis." We wanted to represent a rare case of reactive arthritis secondary to infestation. Cyst hydatid disease is common in endemic regions like Turkey. Internal organ involvements, especially liver and lung, are most frequent involvements. Primary bone involvement is rare complication of infestation. In our case, the patient with infection developed right knee arthritis and sacroiliitis. Other reactive and oligoarthritis causes were excluded and diagnosis of reactive arthritis secondary to cyst hydatid infestation was done with the present findings. Cold pack and TENS treatment were applied as symptomatic treatment to the right knee of the patient. Acemetacin was given as medical treatment. On the 5th day of treatment, right knee and ankle arthritis were clinically regressed. In regions where the disease is seen as endemic, such as Turkey, patients with musculoskeletal symptoms should consider the possibility of musculoskeletal involvement due to the hydatid cyst.
反应性关节炎是一种在感染后发生的炎性关节疾病，通常在胃肠道或泌尿生殖系统感染后出现，属于“脊柱关节炎”这一关节炎家族。我们想呈现一例继发于寄生虫感染的罕见反应性关节炎病例。包虫囊肿病在土耳其等流行地区很常见。内部器官受累，尤其是肝脏和肺部，是最常见的受累情况。原发性骨受累是寄生虫感染的罕见并发症。在我们的病例中，感染患者出现了右膝关节炎和骶髂关节炎。排除了其他反应性和寡关节炎病因，根据目前的检查结果诊断为继发于包虫囊肿感染的反应性关节炎。对患者的右膝进行了冷敷和经皮电刺激神经疗法（TENS）作为对症治疗。给予阿西美辛进行药物治疗。在治疗的第5天，右膝和踝关节关节炎在临床上有所缓解。在土耳其等该病为地方病的地区，有肌肉骨骼症状的患者应考虑因包虫囊肿导致肌肉骨骼受累的可能性。
