Uncommon Cause of Reactive Arthritis in the Elderly

Kourosh Shargani^1, , Danielle Sherlock¹, Cheng-Hung Tai¹ and Harry Fischer¹

¹Northwell Lenox Hill Hospital, New York, NY. 100 E 77th St, New York, NY 10075, USA

Cite this paper:
Kourosh Shargani, Danielle Sherlock, Cheng-Hung Tai and Harry Fischer. Uncommon Cause of Reactive Arthritis in the Elderly. American Journal of Medical Case Reports. 2021; 9(10):489-491. doi: 10.12691/ajmcr-9-10-2

Abstract

Reactive Arthritis, formerly known as Reiter’s syndrome, is a delayed autoimmune mediated inflammatory reaction in the joints that occurs from a response to an infection elsewhere in the body. It usually occurs in young males in response to a genitourinary or gastrointestinal infection. These males may have a predisposition to reactive arthritis by being Human Leukocyte Antigen-B27 (HLA-B27) positive. This report will display an unusual case of reactive arthritis in an elderly female.

Keywords:
reactive arthritis reiter’s syndrome Clostridium Difficile HLA-B27 Arthritis elderly staph aureus MRSA

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References:

[1]	Parameswaran P, Lucke M. HLA B27 Syndromes. [Updated 2020 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551523).
[2]	Cheeti A, Chakraborty RK, Ramphul K: Reactive Arthritis. [Updated 2020 Mar 13]. In. StatPearls [Internet, Treasure Island (FL): StatPearls Publishing; 2020.
[3]	Hamdulay SS, Glynne SJ, Keat A. When is arthritis reactive?. Postgrad Med J. 2006; 82(969): 446-453.
[4]	Michela Cappella, Fabrizio Pugliese, Andrea Zucchini, Federico Marchetti, “Clostridium difficile Enterocolitis and Reactive Arthritis: A Case Report and Review of the Literature”, Case Reports in Pediatrics, vol. 2016, Article ID 1591753, 5 pages, 2016.
[5]	Inés Colmegna, Raquel Cuchacovich, Luis R. Espinoza. HLA-B27-Associated Reactive Arthritis: Pathogenetic and Clinical Considerations. Clinical Microbiology Reviews Apr 2004, 17 (2) 348-369.
[6]	Mark S. Dworkin, Phyllis C. Shoemaker, Marcia J. Goldoft, John M. Kobayashi, Reactive Arthritis and Reiter's Syndrome Following an Outbreak of Gastroenteritis Caused by Salmonella enteritidis, Clinical Infectious Diseases, Volume 33, Issue 7, 1 October 2001, Pages 1010-1014.
[7]	Marwat A, Mehmood H, Hussain A, Khan M, Ullah A, Joshi M. Clostridium difficile Colitis Leading to Reactive Arthritis: A Rare Complication Associated With a Common Disease. J Investig Med High Impact Case Rep. 2018; 6: 2324709618767689. Published 2018 Mar 30.
[8]	Siam AR, Hammoudeh M. Staphylococcus aureus triggered reactive arthritis. Ann Rheum Dis. 1995 Feb; 54(2): 131-3.
[9]	Ono K, Kishimoto M, Shimasaki T, et al. Reactive arthritis after COVID-19 infection. RMD Open 2020; 6: e001350.