A case of reactive arthritis secondary to sexually acquired Shigella flexneri | Zendy

Sarah L. Kennedy | Zendy; Jennifer Murira | Zendy; Claire Wenham | Zendy

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A case of reactive arthritis secondary to sexually acquired Shigella flexneri

Author(s) -

Sarah L. Kennedy,

Jennifer Murira,

Claire Wenham

Publication year - 2017

Publication title -

oxford medical case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.169

H-Index - 9

ISSN - 2053-8855

DOI - 10.1093/omcr/omx070

Subject(s) - shigella flexneri , medicine , reactive arthritis , shigella , context (archaeology) , men who have sex with men , referral , epidemiology , immunology , arthritis , family medicine , syphilis , biology , paleontology , biochemistry , escherichia coli , human immunodeficiency virus (hiv) , gene

We present the first documented case of reactive arthritis (ReA) secondary to sexually acquired infection. The case occurred in the context of a recent change in Shigella epidemiology in England where non-travel associated cases are now contributing the majority of diagnoses. Such non-travel associated cases are occurring predominantly in men who have sex with men with high sexual risk taking behaviour reflecting the importance of the sexual history when assessing a man with Shigella infection who has not travelled. We suggest Shigella can be thought of as a cause of sexually acquired ReA and not just a form of enteric ReA. Referral to sexual health services for further management is essential.

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