Spectrum of Salmonella-Associated Arthritis

[摘要] Arthritis is an uncommon extraintestinal manifestation of Salmonella infection. Three patients with Salmonella -associated arthritis with varying manifestations were seen at Children's Hospital Medical Center in an 11-month period: (1) a 12-year-old girl developed suppurative arthritis due to Salmonella typhimurium that required surgical drainage and prolonged parenteral antibiotic therapy; (2) a 12-year-old girl had migratory polyarthritis following gastrointestinal infection with S typhimurium ; the acute synovitis subsided after a six-month period following anti-inflammatory medications; (3) a 14-year-old girl developed conjunctivitis, urethritis, and polyarthritis (Reiter's syndrome) in association with Salmonella gastroenteritis. These patients illustrate the distinct types of arthritis associated with Salmonella , and the association of this organism with both suppurative joint disease and reactive arthritis is reemphasized.

[学科分类] 儿科学