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Poststaphylococcal coagulase negative reactive arthritis: a case report
Xhevdet Krasniqi1, Sylejman Rexhepi, Masar Gashi
1University Clinical Center of Kosova, Rrethi i Spitalit p.n, 10000 Prishtina, Republic of Kosova.
Cases Journal
|January 12, 2010
Summary
A 49-year-old patient developed reactive arthritis following a staphylococcal coagulase-negative infection. This case highlights the importance of recognizing this rare complication, characterized by joint inflammation and infection symptoms.
Area of Science:
- Rheumatology
- Infectious Diseases
- Clinical Case Study
Background:
- Reactive arthritis can occur following various infections.
- Staphylococcal coagulase-negative bacteremia is a recognized but less common cause of reactive arthritis.
- Early recognition is crucial for appropriate management.
Purpose of the Study:
- To report a case of reactive arthritis secondary to staphylococcal coagulase-negative bacteremia.
- To increase awareness among clinicians regarding this potential post-infectious complication.
- To describe the clinical presentation and diagnostic findings associated with this condition.
Main Methods:
- Case report of a 49-year-old female patient.
- Clinical evaluation including constitutional symptoms, arthritis, urinary infection, and conjunctivitis.
- Laboratory investigations: blood culture, erythrocyte sedimentation rate, C-reactive protein, rheumatoid factor.
- Radiographic imaging: chest X-ray, sacroiliac joint imaging.
Main Results:
- Blood culture positive for staphylococcal coagulase-negative bacteria.
- Elevated inflammatory markers (ESR, CRP); negative rheumatoid factor.
- Radiographic evidence of pleuropneumonia and subsequent chronic asymmetric sacroiliitis.
- Successful diagnosis and implied management of reactive arthritis.
Conclusions:
- Poststaphylococcal coagulase-negative reactive arthritis is a rare but significant clinical entity.
- Clinicians should consider reactive arthritis in patients with a history of staphylococcal coagulase-negative bacteremia presenting with characteristic symptoms.
- Prompt diagnosis and management can potentially prevent long-term joint damage.
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