Urethral secretion peaks in the diagnosis of reactive arthritis

This case highlights the importance of diagnosing and excluding the relationship between infection and the possibility of this condition occurring.

Reactive arthritis most often occurs in men between the ages of 20 and 40, although it can sometimes affect women. Photo: case report.

This clinical case reveals that a 40-year-old man, with no known medical history, had reactive arthritis, after experiencing diarrhea and urethral discharge 7 days prior to onset of symptoms associated with the condition.

The specialists indicated that after the examination, yellow blisters accompanied by hyperkeratosis consistent with skin keratosis were observed. Bleeding on the plantar surfaces of the feet, as well as psoriatic skin lesions on the scalp, trunk and back of the hands, as well as pitting, hyperkeratosis, discoloration and distal onychomycosis of some nails.

Other findings, according to the report, included that the patient had conjunctivitis, migratory glossitis, and swelling in both. Knees and right ankle and balanitis. . level C protein The reaction was 59 mg per liter, and the urinalysis was positive for sterile pyuria.

patient injuries. Photo: The New England Journal

results Synovial fluid analysis of the left knee was consistent with inflammatory, non-inflammatory arthritis. Rheumatoid factor tests, chlamydia Chlamydia trachomatis and other infectious agents were negative.

After reviewing relevant cases in the medical literature, he was diagnosed with reactive arthritis. “The patient was referred to a rheumatology clinic, and the subsequent study for HLA-B27 was positive. After 5 Months of Agent Therapy Non-steroidal anti-inflammatory drugs, systemic glucocorticoids and sulfasalazine, remit the patient’s symptoms”, at the Clinical Hospital Center in Rijeka, Rijeka, Croatia.

It is important to add that secretion The urethra is found almost exclusively in men. The main bacteria infected are Neisseria gonorrhoeae (gonococcus) and Chlamydia trachomatis (chlamydia).

secretion Urethra should be confirmed by clinical examination. In men, massage gently urethra if urethral secretions invisible. Urethral secretions should also be looked for in patients who complain of pain/irritation during urination (dysuria).

reactive arthritis

It is a type of arthritis that occurs after an injury. It can also cause inflammation of the eyes, skin, reproductive system, and urinary system.

Reactive arthritis develops as a reaction to an infection in the body, usually in the intestines, reproductive organs, or urinary tract. You may not be aware of a trigger infection if it does not cause any symptoms or if it is mild.

Many bacteria can cause reactive arthritis. Some are transmitted through sexual contact, while others are transmitted through food. The most common include the following:

* “Campylobacter”

* chlamydia

* Clostridium difficile

* “Escherichia coli”

* Salmonella

* Shigella

* Yersinia

Reactive arthritis is not contagious. However, the bacteria that cause it can be transmitted through sexual contact or through contaminated food. Only some people who are exposed to these bacteria develop reactive arthritis.

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