Brocq O, Breuil V, Agopian V, Grisot C, Flory P, Bernard-Pomier G, Ziegler G, Euller-Ziegler L
Department of Rheumatology, Archet Hospital, Nice, France.
Rev Rhum Engl Ed. 1996 Mar;63(3):217-9.
Reactive arthritis induced by Strongyloides is exceedingly rare. A case in a 53-year-old man from the Guadeloupe (French Antilles) is reported. The outcome was rapidly favorable under thiabendazole therapy. The cycle of Strongyloides is reviewed, and the contribution of parasites to reactive arthritis in patients with genetic risk factors is discussed. Establishing the correct diagnosis is sometimes difficult but is essential in order to avoid inappropriate administration of corticosteroids that can lead to fatal, multivisceral dissemination of the parasite, particularly in patients with strongyloidiasis.
由类圆线虫引起的反应性关节炎极为罕见。本文报道了一例来自瓜德罗普岛（法属安的列斯群岛）的53岁男性病例。在噻苯达唑治疗下，病情迅速好转。本文回顾了类圆线虫的生命周期，并讨论了寄生虫在具有遗传风险因素的患者中对反应性关节炎的影响。有时很难做出正确诊断，但这对于避免不恰当地使用皮质类固醇至关重要，因为这可能导致寄生虫致命的多脏器播散，尤其是在类圆线虫病患者中。
