AI Article Synopsis

  • Reactive arthritis linked to Clostridium difficile infection is rare but has been documented in two cases involving a 40-year-old woman and a 47-year-old man.
  • A review of literature from 1976 to 2016 identified a total of 54 cases, indicating that this condition often affects younger individuals and can involve multiple joints, typically improving with or without treatment.
  • As C. difficile infections become more common, medical professionals should include reactive arthritis in their differential diagnosis when evaluating patients with bacterial infections.

Article Abstract

Introduction: Reactive arthritis due to Clostridium difficile infection is uncommon.

Case Reports: We report two cases of reactive arthritis associated with C. difficile infection that occurred in a 40-year-old woman and a 47-year-old man. The literature review between 1976 (date of first reported case) and 2016 retrieved 54 observations (including our two cases). Reactive arthritis occurs most frequently in young subjects after a variable time frame according to C. difficile infection, involving one or several articulations. The issue is generally favourable with or without anti-inflammatory treatment.

Conclusion: The increasing incidence of C. difficile infection makes more likely the occurrence of this related reactive arthritis. Therefore physicians should consider it in differential diagnosis of bacterial infections capable of causing reactive arthritis.

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http://dx.doi.org/10.1016/j.revmed.2016.12.015DOI Listing

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