Arthritis and clinical history.

Authors

  • Lígia Silva Serviços de Reumatologia do Hospital de São João e da Faculdade de Medicina da Universidade do Porto, Portugal.
  • Luzia Sampaio
  • José Pinto
  • Francisco S Ventura

DOI:

https://doi.org/10.20344/amp.477

Abstract

In front of a patient with arthritis, clinical good-sense tells that the most probable diagnosis are the most prevalent ones. Nevertheless, we have to exclude a multiplicity of other aetiologies, less frequent, but with highest implications in the therapeutic conduct. Infections by Brucella and by Borrelia are rare causes of chronic arthritis, yet are diagnosis to consider, even when the clinical manifestations aren't the most typical, as there still exist endemic areas in Portugal. Here we report two clinical cases about patients with arthritis for more than one year, subject to ineffective exams ant treatments. Only the clinical history could put on evidence clinical-epidemiological data, suggestive of Brucellosis and Lyme Disease, namely the professional contact with infected animals, and the history of probable erythema migrans, that pointed toward the correct diagnosis. So, with directed therapeutic, there was complete resolution of the inflammatory symptoms.

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How to Cite

1.
Silva L, Sampaio L, Pinto J, Ventura FS. Arthritis and clinical history. Acta Med Port [Internet]. 2011 Dec. 12 [cited 2024 Nov. 14];24(4):629-32. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/477

Issue

Section

Arquivo Histórico