Reactive Arthritis in a Patient with Chlamydia trachomatis Infection

Seoung Jun Lee; Jun Gyu Lee

doi:10.4055/jkoa.2013.48.3.236

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Lee and Lee: Reactive Arthritis in a Patient with Chlamydia trachomatis Infection

Case Report

Journal of the Korean Orthopaedic Association 2013; 48(3): 236-239.

Published online: 24 June 2013

DOI: https://doi.org/10.4055/jkoa.2013.48.3.236

Reactive Arthritis in a Patient with Chlamydia trachomatis Infection

Seoung Jun Lee, M.D., Ph.D., Jun Gyu Lee, M.D.

Department of Orthopaedic Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.

Correspondence to: Seoung Jun Lee, M.D., Ph.D. Department of Orthopaedic Surgery, Konkuk University Medical Center, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 143-729, Korea. TEL: +82-2-2030-7360, FAX: +82-2-2030-7369, lsjmd@naver.com

Received 20 January 2013 Revised 19 February 2013 Accepted 20 February 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The authors report a case of reactive arthritis that was caused by sexual contact as below example. A 36-year-old male visited our center due to sudden pain in wrist joint, the 3rd finger, knee joint, and achilles tendon. There were no specific abnormalities for the immunoserologic tests and magnetic resonance imaging; however, we found a positive test result for the polymerase chain reaction test of urine that identified Chlamydia trachomatis. Through considering the patient's medical history and various examinations, we considered the possibility of reactive arthritis, to the exclusion of alternate diagnosis. According to the our diagnosis, the patient was treated with antibiotics and nonsteroidal anti-inflammatory drugs and we found that the patient was getting better. Therefore the authors think that we have to contemplate the possibility of reactive arthritis and treat appropriately in patients with similar symptoms.

Keywords: reactive arthritis, previous infection, multiple arthritic pain, antibiotics therapy

Figures and Tables

Figure 1

(A) Radiograph shows no specific bony abnormality. (B, C) Magnetic resonance imaging show subchondral bone marrow edema with synovial thickening of 2nd and 3rd metacarpophalangeal joint and proximal interphalangeal joint.

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