Shrestha Sanjeev, Rottmann Eva, Kharel Prakash, Lim Francis, Bulbin David Henry
Department of Internal Medicine, Geisinger Medical Center, Danville, Pennsylvania.
Department of Rheumatology, Geisinger Medical Center, Danville, Pennsylvania.
Proc (Bayl Univ Med Cent). 2022 Mar 9;35(3):344-345. doi: 10.1080/08998280.2022.2043678. eCollection 2022.
Reactive arthritis particularly affects individuals 20 to 40 years old. The most common preceding infections are enteric and urogenital. The association of group C and group G streptococcal infections with reactive arthritis is rare. We present a case of old-onset bilateral sacroiliitis following group C streptococcal infection in an 81-year-old woman, treated successfully with a steroid taper and infliximab.
反应性关节炎尤其影响20至40岁的人群。最常见的前驱感染是肠道和泌尿生殖道感染。C组和G组链球菌感染与反应性关节炎的关联较为罕见。我们报告一例81岁女性在感染C组链球菌后发生迟发性双侧骶髂关节炎的病例,通过逐渐减量使用类固醇和英夫利昔单抗成功治愈。