Acute tropical polyarthritis in Zimbabwe: a prospective search for a gonococcal aetiology.

Abstract:

:Fifteen consecutive patients with acute arthritis were studied. Careful culture and microscopy of swabs from mucosal sites were performed to examine the hypothesis that the acute tropical polyarthritis commonly seen in Zimbabwe is due to undiagnosed gonococcal infection. Rheumatic fever and Reiter's disease accounted for two cases each. Gram negative intracellular diplococci were found in three patients who would otherwise have been diagnosed as having tropical polyarthritis. Except for two of the remaining eight patients, who had raised anti-streptolysin O titres suggesting recent streptococcal infection, no explanation for the arthritis was found. The clinical entity of tropical polyarthritis may not be due to a single aetiological agent.

journal_name

Ann Rheum Dis

authors

Stein CM,Hanly MG

doi

10.1136/ard.46.12.912

subject

Has Abstract

pub_date

1987-12-01 00:00:00

pages

912-4

issue

12

eissn

0003-4967

issn

1468-2060

journal_volume

46

pub_type

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