Rickettsioses presenting as major joint arthritis and erythema nodosum: Description of four patients

R. Premaratna, T. G.A.N. Chandrasena, R. P.V.J. Rajapakse, M. E. Eremeeva, G. A. Dasch, N. K.B.K.R.G.W. Bandara, H. J. de Silva

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Erythema nodosum and aseptic arthritis are recognized associations of rickettsial infections. However, they usually present with a febrile illness rather than with severe arthritis. We report three patients who presented with incapacitating major joint arthritis and one who presented with severe spondyloarthropathy in addition to major joint arthritis due to serologically confirmed Orientia tsutsugamushi and Rickettsia conorii infections. All of them had erythema nodosum and low-grade fever. They had rapid clinical response to doxycycline.

Original languageEnglish
Pages (from-to)867-868
Number of pages2
JournalClinical Rheumatology
Volume28
Issue number7
DOIs
StatePublished - 2009

Scopus Subject Areas

  • Rheumatology

Keywords

  • Arthritis
  • Erythema nodosum
  • Orientia tsutsugamushi
  • Rickettsia conorii
  • Rickettsial infections

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