Persistent or severe course of reactive arthritis following Salmonella enteritidis infection. A prospective study of 9 cases

Scand J Rheumatol. 1998;27(6):431-4. doi: 10.1080/030097498442253.

Abstract

During a 7 year-period 9 children (7 boys, 2 girls) with juvenile reactive arthritis (JReA) due to Salmonella enteritidis (Se) were prospectively studied because of an unusual type of onset and/or course of the disease. The mean duration of JReA activity was 9 +/- 3.6 months. The mean follow-up time was 55.2 +/- 17.4 months. JReA presented as any of the three types of juvenile chronic arthritis (JCA), namely, as asymmetrical oligoarthritis, polyarthritis, or systemic JCA in 5, 2, and 2 patients respectively. Two patients had pericarditis and three developed the complete or incomplete Reiter's syndrome during the disease or during a recurrence. Five patients carried the HLA-B27 and 3/5 developed psoriatic lesions 1 to 15 months after the onset of JReA. The presence of HLA-B27 and psoriasis was associated with a more prolonged course of JReA. However, no patient developed late radiological lesions or sacroiliitis during follow-up.

MeSH terms

  • Adolescent
  • Antibodies, Bacterial / analysis
  • Arthritis, Reactive / etiology*
  • Arthritis, Reactive / microbiology
  • Child
  • Child, Preschool
  • Diarrhea / complications
  • Diarrhea / microbiology
  • Female
  • Humans
  • Male
  • Prospective Studies
  • Salmonella Infections / complications*
  • Salmonella enteritidis / immunology

Substances

  • Antibodies, Bacterial