Turkish Journal of Physical Medicine and Rehabilitation 2005 , Vol 51 , Num 1

Poststreptococcal Reactive Arthritis Associated with Calcaneal Enthesopathy: A Case Report

Coşkun Zateri 1 ,Kaan Uzunca 2 ,Murat Birtane 3
1 Onsekiz Mart Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Çanakkale, Türkiye
2 Trakya Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Edirne
3 Department of Physical Medicine and Rehabilitation, Trakya University Faculty of Medicine, Edirne, Turkey

Poststreptococcal arthritis (PSRA) has been defined as a form of arthritis following streptococcal infection which does not satisfy the Jones criteria. Fever, myalgia, erythema nodosum, erythema multyforme, vasculitis and glomerulonephritis can be observed besides oligoarthritis, which is the chief complaint, in the clinical course. However entesopathy is not a usual finding. A twenty-eight years old man with a history of a streptococcal tonsillitis at the previous week admitted to our clinic with the complaints of left knee, ankle, heel pain and left knee swelling that lasted for 5 days and was diagnosed as PSRA. The medical treatment including procaine penicillin for 10 days (1.600.000 IU per day) and acetylsalicylate (5 gr per day) was administered. We aimed to present this case, who was totally cured after this therapy regime, because of the associated calcaneal enthesopathy during the course of PSRA.

Keywords : Poststreptococcal reactive arthritis, enthesopathy