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Reactive arthritis following an outbreak of Campylobacter jejuni infection
OBJECTIVE: To study the occurrence and the clinical picture of musculoskeletal (MSK) complications including reactive arthritis (ReA) following an outbreak of Campylobacter jejuni. METHODS: An outbreak of C. jejuni infection occurred in 2000 in Asikkala, Finland, during which 350 exposed subjects co...
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| Published in: | Journal of rheumatology 2004-03, Vol.31 (3), p.528-530 |
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| container_end_page | 530 |
| container_issue | 3 |
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| container_title | Journal of rheumatology |
| container_volume | 31 |
| creator | HANNU, Timo KAUPPI, Markku TUOMALA, Marja LAAKSONEN, Irja KLEMETS, Peter KUUSI, Markku |
| description | OBJECTIVE: To study the occurrence and the clinical picture of musculoskeletal (MSK) complications including reactive arthritis
(ReA) following an outbreak of Campylobacter jejuni. METHODS: An outbreak of C. jejuni infection occurred in 2000 in Asikkala,
Finland, during which 350 exposed subjects contacted the Municipal Health Centre (MHC). All primary care physicians in the
MHC were advised to refer patients with acute MSK complications to the Rheumatism Foundation Hospital (RFH) for a specialist
clinical examination, which was performed |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_71691999</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71691999</sourcerecordid><originalsourceid>FETCH-LOGICAL-h267t-dd579bd3ea447d39f04924943bbfdc0fdf54b90f8f9d135f4e82b23873fdc1dc3</originalsourceid><addsrcrecordid>eNpFz8tKxDAUBuAgio6jryDZ6K6Qa9ssZfDKgCAK7kLSJDMZ02ZMWsu8vRVH3ZyzON__wzkAM8yEKEjFySGYIYp5gUvydgJOc94ghEtW1sfg5BsxhtAMPD5b1fT-00KV-nXyvc_QxRDi6LsVVB2MQ6-TVe8wOrhQ7XYXop4SNsGN3Qydh75zdmqI3Rk4cipke77fc_B6e_OyuC-WT3cPi-tlsSZl1RfG8EpoQ61irDJUOMQEYYJRrZ1pkDOOMy2Qq50wmHLHbE00oXVFpzM2DZ2Dq5_ebYofg829bH1ubAiqs3HIssKlwEKICV7s4aBba-Q2-Valnfz9fgKXe6Byo4JLqmt8_necU0Gm8efWfrUefbIytyqEqZbKcRwpllRyUtMvZ6Zyfg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71691999</pqid></control><display><type>article</type><title>Reactive arthritis following an outbreak of Campylobacter jejuni infection</title><source>Medical Journals</source><creator>HANNU, Timo ; KAUPPI, Markku ; TUOMALA, Marja ; LAAKSONEN, Irja ; KLEMETS, Peter ; KUUSI, Markku</creator><creatorcontrib>HANNU, Timo ; KAUPPI, Markku ; TUOMALA, Marja ; LAAKSONEN, Irja ; KLEMETS, Peter ; KUUSI, Markku</creatorcontrib><description>OBJECTIVE: To study the occurrence and the clinical picture of musculoskeletal (MSK) complications including reactive arthritis
(ReA) following an outbreak of Campylobacter jejuni. METHODS: An outbreak of C. jejuni infection occurred in 2000 in Asikkala,
Finland, during which 350 exposed subjects contacted the Municipal Health Centre (MHC). All primary care physicians in the
MHC were advised to refer patients with acute MSK complications to the Rheumatism Foundation Hospital (RFH) for a specialist
clinical examination, which was performed <or= 3 months after the onset of the outbreak. RESULTS: Fifteen subjects with acute
MSK complaints (11 women, 4 men; mean age 58 yrs) were examined in the RFH, where the following MSK diagnoses were assessed:
ReA (9 patients), reactive arthralgia (2). exacerbation of previous rheumatoid arthritis (3). and previous fibromyalgia (1).
In the patients with ReA, all adults, the arthritis was oligoarticular in 6 patients and polyarticular in 3; one patient had
monoarthritis. The most frequently affected joints were knees and ankles. Besides peripheral arthritis, one patient had clinical
sacroiliitis. Of the ReA patients, the antigen HLA-B27 was positive in 33%, including the patient with sacroiliitis. At the
clinical examination, 6 ReA patients had subsiding signs of synovitis, 2 had only arthralgia, and one was symptom-free. CONCLUSION:
The frequency of ReA following an outbreak of C. jejuni was low: 2.6% (9 of 350). In the ReA patients, the clinical picture
was mild, the primary outcome good, and the association with HLA-B27 not high.</description><identifier>ISSN: 0315-162X</identifier><identifier>EISSN: 1499-2752</identifier><identifier>PMID: 14994400</identifier><identifier>CODEN: JRHUA9</identifier><language>eng</language><publisher>Toronto, ON: The Journal of Rheumatology</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Arthritis, Reactive - epidemiology ; Arthritis, Reactive - etiology ; Biological and medical sciences ; Campylobacter Infections - complications ; Campylobacter Infections - epidemiology ; Campylobacter jejuni ; Disease Outbreaks ; Diseases of the osteoarticular system ; Female ; Finland - epidemiology ; Humans ; Inflammatory joint diseases ; Male ; Medical sciences ; Middle Aged</subject><ispartof>Journal of rheumatology, 2004-03, Vol.31 (3), p.528-530</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15539255$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14994400$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HANNU, Timo</creatorcontrib><creatorcontrib>KAUPPI, Markku</creatorcontrib><creatorcontrib>TUOMALA, Marja</creatorcontrib><creatorcontrib>LAAKSONEN, Irja</creatorcontrib><creatorcontrib>KLEMETS, Peter</creatorcontrib><creatorcontrib>KUUSI, Markku</creatorcontrib><title>Reactive arthritis following an outbreak of Campylobacter jejuni infection</title><title>Journal of rheumatology</title><addtitle>J Rheumatol</addtitle><description>OBJECTIVE: To study the occurrence and the clinical picture of musculoskeletal (MSK) complications including reactive arthritis
(ReA) following an outbreak of Campylobacter jejuni. METHODS: An outbreak of C. jejuni infection occurred in 2000 in Asikkala,
Finland, during which 350 exposed subjects contacted the Municipal Health Centre (MHC). All primary care physicians in the
MHC were advised to refer patients with acute MSK complications to the Rheumatism Foundation Hospital (RFH) for a specialist
clinical examination, which was performed <or= 3 months after the onset of the outbreak. RESULTS: Fifteen subjects with acute
MSK complaints (11 women, 4 men; mean age 58 yrs) were examined in the RFH, where the following MSK diagnoses were assessed:
ReA (9 patients), reactive arthralgia (2). exacerbation of previous rheumatoid arthritis (3). and previous fibromyalgia (1).
In the patients with ReA, all adults, the arthritis was oligoarticular in 6 patients and polyarticular in 3; one patient had
monoarthritis. The most frequently affected joints were knees and ankles. Besides peripheral arthritis, one patient had clinical
sacroiliitis. Of the ReA patients, the antigen HLA-B27 was positive in 33%, including the patient with sacroiliitis. At the
clinical examination, 6 ReA patients had subsiding signs of synovitis, 2 had only arthralgia, and one was symptom-free. CONCLUSION:
The frequency of ReA following an outbreak of C. jejuni was low: 2.6% (9 of 350). In the ReA patients, the clinical picture
was mild, the primary outcome good, and the association with HLA-B27 not high.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthritis, Reactive - epidemiology</subject><subject>Arthritis, Reactive - etiology</subject><subject>Biological and medical sciences</subject><subject>Campylobacter Infections - complications</subject><subject>Campylobacter Infections - epidemiology</subject><subject>Campylobacter jejuni</subject><subject>Disease Outbreaks</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><issn>0315-162X</issn><issn>1499-2752</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNpFz8tKxDAUBuAgio6jryDZ6K6Qa9ssZfDKgCAK7kLSJDMZ02ZMWsu8vRVH3ZyzON__wzkAM8yEKEjFySGYIYp5gUvydgJOc94ghEtW1sfg5BsxhtAMPD5b1fT-00KV-nXyvc_QxRDi6LsVVB2MQ6-TVe8wOrhQ7XYXop4SNsGN3Qydh75zdmqI3Rk4cipke77fc_B6e_OyuC-WT3cPi-tlsSZl1RfG8EpoQ61irDJUOMQEYYJRrZ1pkDOOMy2Qq50wmHLHbE00oXVFpzM2DZ2Dq5_ebYofg829bH1ubAiqs3HIssKlwEKICV7s4aBba-Q2-Valnfz9fgKXe6Byo4JLqmt8_necU0Gm8efWfrUefbIytyqEqZbKcRwpllRyUtMvZ6Zyfg</recordid><startdate>20040301</startdate><enddate>20040301</enddate><creator>HANNU, Timo</creator><creator>KAUPPI, Markku</creator><creator>TUOMALA, Marja</creator><creator>LAAKSONEN, Irja</creator><creator>KLEMETS, Peter</creator><creator>KUUSI, Markku</creator><general>The Journal of Rheumatology</general><general>Journal of Rheumatology Publishing</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20040301</creationdate><title>Reactive arthritis following an outbreak of Campylobacter jejuni infection</title><author>HANNU, Timo ; KAUPPI, Markku ; TUOMALA, Marja ; LAAKSONEN, Irja ; KLEMETS, Peter ; KUUSI, Markku</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h267t-dd579bd3ea447d39f04924943bbfdc0fdf54b90f8f9d135f4e82b23873fdc1dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthritis, Reactive - epidemiology</topic><topic>Arthritis, Reactive - etiology</topic><topic>Biological and medical sciences</topic><topic>Campylobacter Infections - complications</topic><topic>Campylobacter Infections - epidemiology</topic><topic>Campylobacter jejuni</topic><topic>Disease Outbreaks</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Humans</topic><topic>Inflammatory joint diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HANNU, Timo</creatorcontrib><creatorcontrib>KAUPPI, Markku</creatorcontrib><creatorcontrib>TUOMALA, Marja</creatorcontrib><creatorcontrib>LAAKSONEN, Irja</creatorcontrib><creatorcontrib>KLEMETS, Peter</creatorcontrib><creatorcontrib>KUUSI, Markku</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HANNU, Timo</au><au>KAUPPI, Markku</au><au>TUOMALA, Marja</au><au>LAAKSONEN, Irja</au><au>KLEMETS, Peter</au><au>KUUSI, Markku</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reactive arthritis following an outbreak of Campylobacter jejuni infection</atitle><jtitle>Journal of rheumatology</jtitle><addtitle>J Rheumatol</addtitle><date>2004-03-01</date><risdate>2004</risdate><volume>31</volume><issue>3</issue><spage>528</spage><epage>530</epage><pages>528-530</pages><issn>0315-162X</issn><eissn>1499-2752</eissn><coden>JRHUA9</coden><abstract>OBJECTIVE: To study the occurrence and the clinical picture of musculoskeletal (MSK) complications including reactive arthritis
(ReA) following an outbreak of Campylobacter jejuni. METHODS: An outbreak of C. jejuni infection occurred in 2000 in Asikkala,
Finland, during which 350 exposed subjects contacted the Municipal Health Centre (MHC). All primary care physicians in the
MHC were advised to refer patients with acute MSK complications to the Rheumatism Foundation Hospital (RFH) for a specialist
clinical examination, which was performed <or= 3 months after the onset of the outbreak. RESULTS: Fifteen subjects with acute
MSK complaints (11 women, 4 men; mean age 58 yrs) were examined in the RFH, where the following MSK diagnoses were assessed:
ReA (9 patients), reactive arthralgia (2). exacerbation of previous rheumatoid arthritis (3). and previous fibromyalgia (1).
In the patients with ReA, all adults, the arthritis was oligoarticular in 6 patients and polyarticular in 3; one patient had
monoarthritis. The most frequently affected joints were knees and ankles. Besides peripheral arthritis, one patient had clinical
sacroiliitis. Of the ReA patients, the antigen HLA-B27 was positive in 33%, including the patient with sacroiliitis. At the
clinical examination, 6 ReA patients had subsiding signs of synovitis, 2 had only arthralgia, and one was symptom-free. CONCLUSION:
The frequency of ReA following an outbreak of C. jejuni was low: 2.6% (9 of 350). In the ReA patients, the clinical picture
was mild, the primary outcome good, and the association with HLA-B27 not high.</abstract><cop>Toronto, ON</cop><pub>The Journal of Rheumatology</pub><pmid>14994400</pmid><tpages>3</tpages></addata></record> |
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| ispartof | Journal of rheumatology, 2004-03, Vol.31 (3), p.528-530 |
| issn | 0315-162X 1499-2752 |
| language | eng |
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| source | Medical Journals |
| subjects | Adolescent Adult Aged Aged, 80 and over Arthritis, Reactive - epidemiology Arthritis, Reactive - etiology Biological and medical sciences Campylobacter Infections - complications Campylobacter Infections - epidemiology Campylobacter jejuni Disease Outbreaks Diseases of the osteoarticular system Female Finland - epidemiology Humans Inflammatory joint diseases Male Medical sciences Middle Aged |
| title | Reactive arthritis following an outbreak of Campylobacter jejuni infection |
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