McCluskey J, Riley T V, Owen E T, Langlands D R
Aust N Z J Med. 1982 Oct;12(5):535-7. doi: 10.1111/j.1445-5994.1982.tb03841.x.
A case of reactive arthritis in a patient with a previously documented history of Reiter's syndrome is described. The precipitating agent appears to have been Clostridium difficile. High levels of toxin were demonstrable in the faeces and neutralising antitoxin was detected in the patient's serum but not synovial fluid. Resolution of the polyarthropathy was slow despite successful eradication of the C. difficile with a course of vancomycin.
本文描述了一例既往有莱特尔综合征病史患者发生反应性关节炎的病例。诱发因素似乎是艰难梭菌。粪便中可检测到高水平毒素，患者血清中检测到中和抗毒素，但滑液中未检测到。尽管使用万古霉素疗程成功根除了艰难梭菌，但多关节炎的缓解仍很缓慢。
