Reactive Arthritis Secondary to Cauda Equina Injury following Spine Fracture: A Case Report

A 38-year-old man presented with a one-month history of muscle weakness and dysesthesia in the lower extremities, urinary retention, and urinary tract infection after lumbar burst fracture resulted from high fall. During the rehabilitation in our hospital, he had arthritis in both the ankle and kne...

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Main Authors: Xiao Li, Shaoling Wu, Chao Ma
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2011/648080
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author Xiao Li
Shaoling Wu
Chao Ma
author_facet Xiao Li
Shaoling Wu
Chao Ma
author_sort Xiao Li
collection DOAJ
description A 38-year-old man presented with a one-month history of muscle weakness and dysesthesia in the lower extremities, urinary retention, and urinary tract infection after lumbar burst fracture resulted from high fall. During the rehabilitation in our hospital, he had arthritis in both the ankle and knee. However, the patient was treated as gouty arthropathy initially. The arthritis was completely remitted in a few days after the patient was diagnosed as reactive arthritis and started with sulfasalazine therapy and there was no recurrence during 4 months of follow-up. Based on this case, early recognition of reactive arthritis is of major importance to avoid delayed initiation of appropriate treatment in the patients with polyarthritis secondary to neurogenic bladder following cauda equina injury after spine fracture.
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institution Kabale University
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publisher Wiley
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series Case Reports in Orthopedics
spelling doaj-art-39a9dd4cec714d4aaa7465f84673f2722025-02-03T06:14:04ZengWileyCase Reports in Orthopedics2090-67492090-67572011-01-01201110.1155/2011/648080648080Reactive Arthritis Secondary to Cauda Equina Injury following Spine Fracture: A Case ReportXiao Li0Shaoling Wu1Chao Ma2Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangdong, Guangzhou 510120, ChinaDepartment of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangdong, Guangzhou 510120, ChinaDepartment of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangdong, Guangzhou 510120, ChinaA 38-year-old man presented with a one-month history of muscle weakness and dysesthesia in the lower extremities, urinary retention, and urinary tract infection after lumbar burst fracture resulted from high fall. During the rehabilitation in our hospital, he had arthritis in both the ankle and knee. However, the patient was treated as gouty arthropathy initially. The arthritis was completely remitted in a few days after the patient was diagnosed as reactive arthritis and started with sulfasalazine therapy and there was no recurrence during 4 months of follow-up. Based on this case, early recognition of reactive arthritis is of major importance to avoid delayed initiation of appropriate treatment in the patients with polyarthritis secondary to neurogenic bladder following cauda equina injury after spine fracture.http://dx.doi.org/10.1155/2011/648080
spellingShingle Xiao Li
Shaoling Wu
Chao Ma
Reactive Arthritis Secondary to Cauda Equina Injury following Spine Fracture: A Case Report
Case Reports in Orthopedics
title Reactive Arthritis Secondary to Cauda Equina Injury following Spine Fracture: A Case Report
title_full Reactive Arthritis Secondary to Cauda Equina Injury following Spine Fracture: A Case Report
title_fullStr Reactive Arthritis Secondary to Cauda Equina Injury following Spine Fracture: A Case Report
title_full_unstemmed Reactive Arthritis Secondary to Cauda Equina Injury following Spine Fracture: A Case Report
title_short Reactive Arthritis Secondary to Cauda Equina Injury following Spine Fracture: A Case Report
title_sort reactive arthritis secondary to cauda equina injury following spine fracture a case report
url http://dx.doi.org/10.1155/2011/648080
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AT shaolingwu reactivearthritissecondarytocaudaequinainjuryfollowingspinefractureacasereport
AT chaoma reactivearthritissecondarytocaudaequinainjuryfollowingspinefractureacasereport