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Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
. 1990 Mar;49(3):192–193. doi: 10.1136/ard.49.3.192

Infective arthritis due to Blastocystis hominis.

M G Lee 1, S C Rawlins 1, M Didier 1, K DeCeulaer 1
PMCID: PMC1004021  PMID: 2322029

Abstract

A patient with rheumatoid arthritis taking prednisone developed Blastocystis hominis acute diarrhoea, which was associated with increased inflammation and effusion of the left knee. B hominis organisms were found in synovial fluid from the left knee. The patient responded dramatically to metronidazole treatment. B hominis may become disseminated in immunosuppressed patients with diarrhoea and may cause infective arthritis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arnett F. C., Edworthy S. M., Bloch D. A., McShane D. J., Fries J. F., Cooper N. S., Healey L. A., Kaplan S. R., Liang M. H., Luthra H. S. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988 Mar;31(3):315–324. doi: 10.1002/art.1780310302. [DOI] [PubMed] [Google Scholar]
  2. Clinical relevance of Blastocystis hominis. Lancet. 1984 Jun 2;1(8388):1233–1234. [PubMed] [Google Scholar]
  3. Cook G. C. Opportunistic parasitic infections associated with the acquired immune deficiency syndrome (AIDS): parasitology, clinical presentation, diagnosis and management. Q J Med. 1987 Dec;65(248):967–983. [PubMed] [Google Scholar]
  4. LeBar W. D., Larsen E. C., Patel K. Afebrile diarrhea and Blastocystis hominis. Ann Intern Med. 1985 Aug;103(2):306–306. doi: 10.7326/0003-4819-103-2-306_1. [DOI] [PubMed] [Google Scholar]
  5. Markell E. K., Udkow M. P. Blastocystis hominis: pathogen or fellow traveler? Am J Trop Med Hyg. 1986 Sep;35(5):1023–1026. doi: 10.4269/ajtmh.1986.35.1023. [DOI] [PubMed] [Google Scholar]
  6. Vannatta J. B., Adamson D., Mullican K. Blastocystis hominis infection presenting as recurrent diarrhea. Ann Intern Med. 1985 Apr;102(4):495–496. doi: 10.7326/0003-4819-102-4-495. [DOI] [PubMed] [Google Scholar]
  7. Zierdt C. H., Tan H. K. Ultrastructure and light microscope appearance of Blastocystis hominis in a patient with enteric disease. Z Parasitenkd. 1976 Oct 12;50(3):277–283. doi: 10.1007/BF02462972. [DOI] [PubMed] [Google Scholar]

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