Poststreptococcal arthritis in teenagers

During 1995-1999 autumn-winter periods 300 teenagers with signs of acute respiratory disease (ARD) were examined. 38% from them had group A p-hemolytic streptococcus (GABS) and elevation of anti- streptolysine-O antibodies titers what comply with definite streptococcal infection criteria. Arthritis...

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Main Authors: A. I. Speransky, K L Melkumova, S M Ivanova, E S Mach
Format: Article
Language:Russian
Published: IMA PRESS LLC 2003-08-01
Series:Научно-практическая ревматология
Subjects:
Online Access:https://rsp.mediar-press.net/rsp/article/view/1202
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author A. I. Speransky
K L Melkumova
S M Ivanova
E S Mach
author_facet A. I. Speransky
K L Melkumova
S M Ivanova
E S Mach
author_sort A. I. Speransky
collection DOAJ
description During 1995-1999 autumn-winter periods 300 teenagers with signs of acute respiratory disease (ARD) were examined. 38% from them had group A p-hemolytic streptococcus (GABS) and elevation of anti- streptolysine-O antibodies titers what comply with definite streptococcal infection criteria. Arthritis was revealed and immunologically characterized in 35 teenagers with streptococcal pharyngitis. Pts with non streptococcal pharingitis did not have arthritis. These results allowed to describe clinical and immunological signs of poststreptococcal arthritis for the first time in our land. These signs included asymmetrical non migrating arthritis lasting from 8 to 156 days with primary involvement of large (knee) and less frequently - small joints. Synovitis manifested with joint pain and swelling. It was confirmed by US examination and differed from migrating arthritis in acute rheumatic fever (ARF). According to WHO recommendations teenagers with definite streptococcal infection received combined treatment - single injection of bicillin-5 with subsequent treatment with fenoximethylpenicilline. Cultures and blood immunologic examination in a month and later after treatment gave negative results in 90,5% of pts. Described disease or syndrome associated with acute upper respiratory infection in teenagers differ from ARF.
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spelling doaj.art-cbe977beb0324080993f2a89def311d62023-03-22T13:45:39ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922003-08-0141481410.14412/1995-4484-2003-13241142Poststreptococcal arthritis in teenagersA. I. SperanskyK L MelkumovaS M IvanovaE S MachDuring 1995-1999 autumn-winter periods 300 teenagers with signs of acute respiratory disease (ARD) were examined. 38% from them had group A p-hemolytic streptococcus (GABS) and elevation of anti- streptolysine-O antibodies titers what comply with definite streptococcal infection criteria. Arthritis was revealed and immunologically characterized in 35 teenagers with streptococcal pharyngitis. Pts with non streptococcal pharingitis did not have arthritis. These results allowed to describe clinical and immunological signs of poststreptococcal arthritis for the first time in our land. These signs included asymmetrical non migrating arthritis lasting from 8 to 156 days with primary involvement of large (knee) and less frequently - small joints. Synovitis manifested with joint pain and swelling. It was confirmed by US examination and differed from migrating arthritis in acute rheumatic fever (ARF). According to WHO recommendations teenagers with definite streptococcal infection received combined treatment - single injection of bicillin-5 with subsequent treatment with fenoximethylpenicilline. Cultures and blood immunologic examination in a month and later after treatment gave negative results in 90,5% of pts. Described disease or syndrome associated with acute upper respiratory infection in teenagers differ from ARF.https://rsp.mediar-press.net/rsp/article/view/1202poststreptococcal arthritisteenagers
spellingShingle A. I. Speransky
K L Melkumova
S M Ivanova
E S Mach
Poststreptococcal arthritis in teenagers
Научно-практическая ревматология
poststreptococcal arthritis
teenagers
title Poststreptococcal arthritis in teenagers
title_full Poststreptococcal arthritis in teenagers
title_fullStr Poststreptococcal arthritis in teenagers
title_full_unstemmed Poststreptococcal arthritis in teenagers
title_short Poststreptococcal arthritis in teenagers
title_sort poststreptococcal arthritis in teenagers
topic poststreptococcal arthritis
teenagers
url https://rsp.mediar-press.net/rsp/article/view/1202
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AT klmelkumova poststreptococcalarthritisinteenagers
AT smivanova poststreptococcalarthritisinteenagers
AT esmach poststreptococcalarthritisinteenagers