CLINICAL AND BIOLOGICAL CHARACTERISTICS OF UREAPLASMA-UREALYTICUM INDUCED POLYARTHRITIS IN A PATIENT WITH COMMON VARIABLE HYPOGAMMAGLOBULINEMIA

被引:20
作者
LEHMER, RR
ANDREWS, BS
ROBERTSON, JA
STANBRIDGE, EJ
DELAMAZA, L
FRIOU, GJ
机构
[1] UNIV CALIF IRVINE,DEPT MED,DIV RHEUMATOL & CLIN IMMUNOL,IRVINE,CA 92717
[2] UNIV ALBERTA,DEPT MED MICROBIOL & INFECT DIS,EDMONTON T6G 2E1,ALBERTA,CANADA
[3] UNIV CALIF IRVINE,DEPT MICROBIOL & MOLEC GENET,IRVINE,CA 92717
[4] UNIV CALIF IRVINE,DEPT PATHOL,IRVINE,CA 92717
关键词
D O I
10.1136/ard.50.8.574
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Persistent infectious polyarthritis caused by Ureaplasma urealyticum in a patient with common variable hypogammaglobulinaemia is described. The patient developed a symmetrical, destructive polyarthritis and tenosynovitis associated with a markedly depressed synovial fluid glucose concentration and characteristic soft tissue abscesses. The ureaplasma organism developed resistance to multiple antibiotics and persisted for five years. The organism was identified repeatedly in many joints by culture, confirmed by DNA hybridisation, and mycoplasma-like structures were shown in synovial tissues by electron microscopy.
引用
收藏
页码:574 / 576
页数:3
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