Rheumatic symptoms following an outbreak of campylobacter enteritis: a five year follow up

Article Abstract:

Reactive arthritis, occurring after infections, are a common phenomenon, and certain intestinal bacterial infections, such as salmonella, shigella, and yersinia, are more likely to cause reactive arthritis. Infections caused by Campylobacter jejuni (C. jejuni) have more recently been reported, but the development of arthritis following outbreaks of this infection has not been well documented. The course of C. jejuni-associated arthritic disorders experienced by 106 hospital staff members and their guests after attending a party in which chicken, rice, and a salad were served, is described in a five-year follow-up study. Information was obtained from 86 participants, who were divided into three groups. In the first group, 35 had symptoms of infection, while 31 in the second group had no symptoms but did have a positive laboratory test for infection, while 20 in the third group had neither symptoms nor positive tests for infection. The first group reported diarrhea or digestive upset, fever, malaise, or headache. Joint, muscle, or spine symptoms in the acute time period significantly correlated with occurrence of diarrhea, occurring in seven patients, and most symptoms lasted less than one month. These patients also had significantly higher levels of antibodies against the bacteria compared with those in the same group without symptoms. All patients in the second group had increased levels of antibodies against the bacteria, and four had long-term rheumatic disorders. No long-term rheumatic illnesses were reported by the third group. Case reports about five patients in the first two groups are presented. The study indicates that both acute and late-developing rheumatic illnesses may follow C. jejuni intestinal infections regardless of the presence of digestive complaints. (Consumer Summary produced by Reliance Medical Information, Inc.)

Risk factors

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Diagnosis and treatment of mood disorders in patients with rheumatic disease

Article Abstract:

Many patients with rheumatic diseases also have mood and psychiatric disorders. This is especially true of patients with fibromyalgia and chronic fatigue syndrome. Prompt diagnosis and treatment is essential to allow these patients to live normal lives.

Psychological aspects, Affective disorders, Mood disorders

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A multidisciplinary job retention vocational rehabilitation programme for patients with chronic rheumatic diseases: Patient's and occupational physicians' satisfaction

Article Abstract:

To optimize vocational guidance, special vocational rehabilitation programs are introduced. A study was conducted between March 1999 and June 2001to investigate patients' and occupational physicians' satisfaction with the quality of these programs.

Job training and related services, Vocational Rehabilitation Services, Job Counseling Centers, Evaluation, Vocational guidance, Job satisfaction, Regional medical programs

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