Mottier D, Pennec Y, Brousse A, Youinou P, Jouquan J, Bergeret G
Sem Hop. 1982 Sep 30;58(35):1989-92.
Rheumatic manifestations due to Yersinia pseudotuberculosis are apparently rare. We report four personal observations, including one of a patient with Reiter disease and significant titres of antibodies to Yersinia pseudotuberculosis. In all four patients a non-specific syndrome, with fever and digestive symptoms, preceded the onset of joint disease. Both peripheral and axial joints were affected. One patient had HLA B27; the brother of another patient had spondyloarthropathy with HLA B27. Stool cultures were negative but they were all done at least three months after the acute episode. These rheumatic manifestations have many features in common with those described in Yersinia enterocolitica infections. Studies of larger series could improve our knowledge of the part played by the patients' constitution and widen the scope of reactive arthritis.
由假结核耶尔森菌引起的风湿性表现显然较为罕见。我们报告了4例个人观察病例，其中1例为赖特综合征患者，其假结核耶尔森菌抗体滴度显著升高。在所有4例患者中，关节疾病发作前均出现了以发热和消化系统症状为主的非特异性综合征。外周关节和中轴关节均受累。1例患者为HLA B27阳性；另1例患者的兄弟患有HLA B27相关的脊柱关节病。粪便培养均为阴性，但均在急性期至少3个月后进行。这些风湿性表现与小肠结肠炎耶尔森菌感染所描述的表现有许多共同特征。对更多病例系列的研究可能会增进我们对患者体质所起作用的了解，并拓宽反应性关节炎的范围。
