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Poststreptococcal Reactive Arthritis

^* Section of Foot and Ankle, Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH. Dr. Logan is now in private practice with Foot and Ankle Specialists of Central Ohio, Gahanna.

Corresponding author: Daniel Logan, DPM, 426A Beecher Rd, Gahanna, OH 43230.

Abstract

Acute rheumatic fever is a delayed inflammatory disease that follows streptococcal infection of the throat. Poststreptococcal reactive arthritis is a sterile arthritis associated with antecedent streptococcal infection in patients not fulfilling the Jones criteria for acute rheumatic fever. Poststreptococcal reactive arthritis has been reported to have lower-extremity predominance and, therefore, should be included in the differential diagnosis of patients with lower-extremity arthritis. A review of the literature, distinguishing poststreptococcal reactive arthritis from acute rheumatic fever, and treatment options are discussed here. A case report is also presented. (J Am Podiatr Med Assoc 96(4): 362–366, 2006)