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痢疾杆菌属、肠炎杆菌属(沙门氏菌属)和耶氏杆菌属(Yersinia)等肠道致病菌很少引起化脓性关节感染。然而,近十年来,愈来愈多的证据表明,上述病原菌所致肠道疾病与嗣后发生的无菌性关节炎之间有关联。菌痢发病后不久可发生典型的尿道—关节炎—结膜综合征(Reiter综合征)。Paronen报道344例此综合征病例。96％有菌痢史,菌痢通常发生于关节炎、结膜炎和尿道炎首次发作前1～4周。Noer报道流行菌痢后,有10例患者发生此综合征。其中5例于13年后进行随访观察,4例罹患丧失劳动能力的慢性病,其特征为活动性关节炎、复发性尿道炎和眼色素
Enteric pathogens such as Shigella, Enterobacter (Salmonella) and Yersinia rarely cause septic joint infections. However, over the past decade, there is growing evidence that there is a link between the intestinal pathologies caused by these pathogenic bacteria and the subsequent development of aseptic arthritis. A typical urethritis-conjunctival syndrome (Reiter’s syndrome) can occur shortly after onset of dysentery. Paronen reported 344 cases of this syndrome. 96% of bacillary dysentery history, bacillary dysentery usually occurs in arthritis, conjunctivitis and urethritis before the first episode of 1 to 4 weeks. Noer report of epidemic dysentery, 10 patients with this syndrome. Five of them were followed up 13 years later, and four had chronic incapacity, which was characterized by active arthritis, recurrent urethritis and uveitis