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沙眼衣原体继发的慢性性传播获得性反应性关节炎

Chronic sexually acquired reactive arthritis secondary to Chlamydiatrachomatis.

作者信息

Basu Arkendu, Biswas Jaya, Singh Saurabh, Gupta Vishal, Dhawan Benu

机构信息

Department of Microbiology and Medicine, All India Institute of Medical Sciences, New Delhi, India.

Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Med Microbiol. 2024 Mar-Apr;48:100561. doi: 10.1016/j.ijmmb.2024.100561. Epub 2024 Mar 12.

Abstract

Reactive arthritis is included in the spectrum of seronegative spondyloarthritides, occurring secondary to triggers of genitourinary and gastrointestinal tract infections. We describe two cases of sexually acquired reactive arthritis secondary to genital infection by Chlamydia trachomatis, diagnosed by in-house polymerase chain reaction performed on the first void urine. Both patients were managed with a combined approach of short course antibiotics, immunosuppressive agents, biologicals and surgical intervention.

摘要

反应性关节炎属于血清阴性脊柱关节炎范畴,继发于泌尿生殖道和胃肠道感染的诱因。我们描述了两例由沙眼衣原体生殖器感染继发的性传播获得性反应性关节炎病例,通过对首次晨尿进行内部聚合酶链反应诊断。两名患者均采用了短期抗生素、免疫抑制剂、生物制剂和手术干预相结合的治疗方法。

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