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[Acute polyarthritis in Yersinia enterocolitica infection. 4 cases in Belgium]
Abstract:
Four cases in acute polyarthritis observed in Belgium, secondary to infection with Yersinia enterocolitica are reported. Apart from in Finland, where the frequency of yersinian rheumatism appears to be equal to that of Bouillaud's disease, these published cases are exceptional. This might appear surprising when it is realized that Yersinia is endemic in Western Europe and in other parts of the world and that alimentary manifestations are not rare and are now well known. This polyarthritis presents as an aspecific oligo-arthritis that is often preceded by acute enteritis and resolves itself spontaneously in several months. Determination of specific agglutinins is the basis of diagnosis. Twice the authors noted a temporary gonoreaction associated with an increase in the anti-Yersinia agglutinins. The few cases presented will help in the recognition of this new form of acute polyarthritis, which may be included among the infectious rheumatisms, and which is probably more frequent than it appears from reading the rheumatological literature.
Insights
Yersinia enterocolitica infection can cause acute polyarthritis, a form of infectious rheumatism. Early diagnosis through agglutinin testing is key for this often-underreported condition.
Area of Science:
- Rheumatology
- Infectious Diseases
- Microbiology
Background:
- Yersinia enterocolitica is endemic globally and frequently causes alimentary manifestations.
- Yersinia-associated rheumatism is considered rare in published literature, except in Finland.
Observation:
- Four cases of acute polyarthritis secondary to Yersinia enterocolitica infection were observed in Belgium.
- The condition presented as non-specific oligoarthritis, often following acute enteritis.
- A temporary gonococcal reaction was noted in two cases, coinciding with elevated anti-Yersinia agglutinins.
Findings:
- Yersinia enterocolitica infection can manifest as acute polyarthritis.
- Diagnosis relies on determining specific anti-Yersinia agglutinins.
- The arthritis typically resolves spontaneously within months.
Implications:
- This condition, a form of infectious rheumatism, may be more prevalent than currently recognized in rheumatological literature.
- Increased awareness can improve diagnosis and management of Yersinia-induced polyarthritis.
- Understanding the link between Yersinia infection and joint inflammation is crucial for public health.