Huppertz H I, Sandhage K
Children's University Hospital, Würzburg, Germany.
Acta Paediatr. 1994 Nov;83(11):1230-1. doi: 10.1111/j.1651-2227.1994.tb18293.x.
Reactive arthritis following infection with enteropathogenic bacteria is usually a self-limiting disease that disappears after a few months without sequela. We describe two girls who developed carditis shortly after the onset of reactive arthritis due to infection with Salmonella enteritidis. The carditis presented with fatigue and arrhythmia and involved the aortic valve in both patients leading to definite aortic regurgitation in one. A similar pattern of cardiac involvement is found in other spondyloarthropathies, including Reiter's syndrome and ankylosing spondylitis. We conclude that Salmonella reactive arthritis may be complicated by carditis.
感染肠道致病菌后发生的反应性关节炎通常是一种自限性疾病，数月后可自行消失且不留后遗症。我们描述了两名女孩，她们在因感染肠炎沙门氏菌而发生反应性关节炎后不久便出现了心脏炎。心脏炎表现为疲劳和心律失常，两名患者均累及主动脉瓣，其中一名患者出现了明确的主动脉瓣反流。在其他脊柱关节病中也发现了类似的心脏受累模式，包括赖特综合征和强直性脊柱炎。我们得出结论，沙门氏菌反应性关节炎可能并发心脏炎。
