RESUMEN
Extracolonic manifestations of Clostridium difficile infections have rarely been reported as a reactive arthritis. We report a 43-year-old woman who presented with a polyarthritis following pseudomembranous colitis. She was admitted for fever and polyarthritis, 10 days after the onset of a C. difficile enterocolitis. Samples obtained from urine and blood cultures remained sterile. Corticosteroids were prescribed and clinical manifestations resolved within 3 weeks. Ten months later, there was no relapse and no sequela.
Asunto(s)
Artritis Reactiva/microbiología , Clostridioides difficile , Enterocolitis Seudomembranosa/complicaciones , Adulto , Artritis Reactiva/diagnóstico , Artritis Reactiva/tratamiento farmacológico , Clostridioides difficile/aislamiento & purificación , Enterocolitis Seudomembranosa/diagnóstico , Enterocolitis Seudomembranosa/tratamiento farmacológico , Femenino , Glucocorticoides/uso terapéutico , Humanos , Resultado del TratamientoAsunto(s)
Antiinflamatorios no Esteroideos/efectos adversos , Artritis Reumatoide/tratamiento farmacológico , Inmunoglobulina G/efectos adversos , Linfoma de Células T/inducido químicamente , Neoplasias Cutáneas/inducido químicamente , Etanercept , Femenino , Humanos , Linfoma de Células T/patología , Persona de Mediana Edad , Paniculitis/inducido químicamente , Receptores del Factor de Necrosis Tumoral , Neoplasias Cutáneas/patologíaRESUMEN
Septic arthritis of the facet joint is a rare condition. We report a case of septic arthritis of both a thoracic facet joint and a wrist. Clinical manifestations were consistent with a spondylodiscitis. Magnetic resonance imaging of the spine demonstrated infection of facet joints of T1 and T2. A surgical biopsy of the wrist isolated a type B streptococcus. The same organism was found in urine culture. The patient had an uneventful recovery on antibiotics.
