Shigella flexneri associated reactive arthritis - GI transmitted or sexually transmitted?

The pathogenic association of reactive arthritis with human immunodeficiency virus (HIV) needs more attention. In this case report we described a case of 22 year old male patient suffering from severe HIV infection. He presented with the complaints of left knee joint pain associated with swelling an...

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Bibliographic Details
Published inJournal of family medicine and primary care Vol. 8; no. 3; pp. 1250 - 1252
Main Authors Kaeley, Nidhi, Kumar, Manish, Bhardwaj, Bharat B, Nagasubramanyam, Vempalli
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer - Medknow 01.03.2019
Wolters Kluwer Medknow Publications
Subjects
Case Report
HIV
reactive arthritis
shigella flexneri
HIV
shigella flexneri
reactive arthritis
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Summary:The pathogenic association of reactive arthritis with human immunodeficiency virus (HIV) needs more attention. In this case report we described a case of 22 year old male patient suffering from severe HIV infection. He presented with the complaints of left knee joint pain associated with swelling and tenderness. He also developed keratotic papules on palms and soles and polycyclic erosions on the glans penis. He was diagnosed as a case of reactive arthritis with HIV infection. The patient was treated with sulfasalazine and anti retroviral therapy. We, hereby discuss the underlying pathogenesis and treatment modalities in patients of reactive arthritis with underlying HIV infection. The treatment of reactive arthritis with HIV is a challenge due to limited options of immunosupressive agents.
ISSN:2249-4863
2278-7135
DOI:10.4103/jfmpc.jfmpc_30_19