RESUMO
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.
Assuntos
Artrite Reativa/microbiologia , Clostridioides difficile , Enterocolite Pseudomembranosa/complicações , Adulto , Artrite Reativa/diagnóstico , Artrite Reativa/tratamento farmacológico , Clostridioides difficile/isolamento & purificação , Enterocolite Pseudomembranosa/diagnóstico , Enterocolite Pseudomembranosa/tratamento farmacológico , Feminino , Glucocorticoides/uso terapêutico , Humanos , Resultado do TratamentoAssuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Artrite Reumatoide/tratamento farmacológico , Imunoglobulina G/efeitos adversos , Linfoma de Células T/induzido quimicamente , Neoplasias Cutâneas/induzido quimicamente , Etanercepte , Feminino , Humanos , Linfoma de Células T/patologia , Pessoa de Meia-Idade , Paniculite/induzido quimicamente , Receptores do Fator de Necrose Tumoral , Neoplasias Cutâneas/patologiaRESUMO
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.
