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[Yersinia arthritis (author's transl)]

F Schilling

    Deutsche Medizinische Wochenschrift (1946)
    |October 15, 1976
    PubMed
    Summary

    Yersinia arthritis, a joint inflammation following diarrhea caused by Yersinia enterocolitica, typically resolves well. Genetic factors like HLA-B 27 may predispose individuals to this condition.

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    Area of Science:

    • Rheumatology
    • Infectious Diseases
    • Immunogenetics

    Background:

    • Yersinia arthritis is an acute joint inflammation often following gastrointestinal infections.
    • It can present as oligoarthritis or polyarthritis, sometimes with abdominal pain.

    Observation:

    • Four cases of Yersinia arthritis linked to Yersinia enterocolitica infection are presented.
    • Joint fluid in one case showed antibodies against the pathogen.
    • Cultures were negative, likely due to prior antibiotic use.

    Findings:

    • All four patients tested positive for HLA-B 27, suggesting a genetic predisposition.
    • The condition can be mistaken for rheumatic fever or Reiter's disease due to overlapping symptoms like pharyngitis, ECG changes, and conjunctivitis.

    Implications:

    • Early recognition of Yersinia arthritis is crucial to avoid misdiagnosis.
    • The good prognosis indicates complete recovery is likely within weeks to months.
    • Understanding the genetic link (HLA-B 27) may aid in identifying at-risk individuals.

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