To the Editor: We report a case of reactive arthritis with an unusual cause in a previously well 47-year-old male landscape gardener. The patient presented with acute onset of left ankle arthritis. He had a 10-day history of a productive cough associated with mild fever, back pain and arthralgias. His temperature was 37.7°C and occasional crackles were audible at the lung bases. His left ankle was tender, with decreased range of movement. The provisional diagnosis was atypical pneumonia with reactive arthritis.
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- Sutherland Hospital, Sydney, NSW.
Correspondence: peter.gonski@sesiahs.health.nsw.gov.au
- 1. Elliott JH. Psittacosis. A flu like syndrome. Aust Fam Physician 2001; 30: 739-741.
- 2. Leirisalo-Repo M. Reactive arthritis. Scand J Rheumatol 2005; 34: 251-259.
- 3. Lanham JG, Doyle DV. Reactive arthritis following psittacosis. Br J Rheumatol 1984; 23: 225-226.
- 4. Tsapas G, Klonizakis I, Casakos K, Koncouris L. Psittacosis and arthritis. Chemotherapy 1991; 37: 143-145.
- 5. Clegg DO, Reda DJ, Weisman MH, et al. Comparison of sulfasalazine and placebo in the treatment of reactive arthritis (Reiter’s syndrome). A Department of Veterans Affairs Cooperative Study. Arthritis Rheum 1996; 39: 2021-2027.
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