Evidence for Chlamydia trachomatis and Ureaplasma urealyticum in a patient with Reiter's disease

The significance of Ureaplasma urealyticum as a pathogenic agent in the paediatric population

“…Mechanisms through which a susceptibility to reactive arthritis is linked to HLA-B27 antigen have not yet been fully elucidated, but cross-reactivity between B27 and a surface antigen of the pathogenic germs might offer a possible explanation. The clinical profile of the disease is characterized by an asymmetrical oligoarthritis involving particularly the peripheral joints of the lower limbs as well as extra-articular manifestations such as uveitis and cutaneous lesions [60,61]. Unilateral serofibrinous iridocyclitis in a patient with Reiter's disease positive for U. urealyticum has been reported.…”

Clinical implications of the genus Mycoplasma

“…Lo más habitual es aislarlo como un patógeno oportunista en pacientes inmunocomprometidos en casos de poliartritis y artritis séptica [ 238 - 241 ]; absceso perifrénico [ 242 ], abscesos cerebrales [ 243 ], osteomielitis [ 244 , 245 ], uretritis [ 246 ], pielonefritis [ 247 ], meningitis postrasplante [ 248 ] e infección periprotésica posquirúrgica [ 249 ]. También asociado a embarazos de riesgo y complicaciones neonatales [ 250 ]; corioamnionitis, enfermedad pélvica inflamatoria, enfermedad pulmonar crónica en pretérminos [ 251 - 253 ], infertilidad [ 254 - 256 ], prostatitis [ 257 ] y vaginosis bacteriana [ 232 ], bronquiolitis en niños [ 258 ], poliartritis séptica en paciente con leucemia linfoblástica aguda [ 259 ], empiema pleural en paciente con linfoma B difuso de célula grande [ 260 ], artritis séptica en paciente con LES [ 261 ], diabetes insípida [ 262 ], bacteriemia postquirúrgica [ 263 ], coinfección junto a Chlamydia trachomatis en el síndrome de Reiter [ 264 , 265 ] y piuria estéril [ 266 ].…”