Tuberculous rheumatism “Poncet's disease”. Case report

Lugo-Zamudio, Gustavo Esteban; Barbosa-Cobos, Rosa Elda; González-Ramírez, Laura Virginia; Delgado-Ochoa, Dolores

doi:10.1016/j.circen.2016.02.009

Cited by 6 publications

(8 citation statements)

References 11 publications

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“…A higher frequency of the HLA-B27 allele was observed in patients compared with patients who did not develop Poncet's disease. 14,15 Unlike the literature, tuberculous peritonitis developing with the direct spread of tubal tuberculosis and Poncet's disease developing in the following period were detected in our patient. The control examination in the second month after the treatmen' showed that the joint pains regressed.…”

Section: Discussioncontrasting

confidence: 70%

“…Although its pathogenesis is not fully known, it is thought to be immune‐mediated. A higher frequency of the HLA‐B27 allele was observed in patients compared with patients who did not develop Poncet's disease 14,15 . Unlike the literature, tuberculous peritonitis developing with the direct spread of tubal tuberculosis and Poncet's disease developing in the following period were detected in our patient.…”

Section: Discussioncontrasting

confidence: 65%

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Poncet's disease and tubal tuberculosis: A case report

Zengin,

Göre,

Sağlar

et al. 2023

Int J of Rheum Dis

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A 25‐year‐old female patient was admitted to the hospital with abdominal pain, loss of appetite, and weight loss for the last 5 months. The patient underwent paracentesis five times and was referred to our clinic after peritonitis findings were detected. Tubal tuberculosis was detected during her hospitalization. The patient, who also developed joint pain, was diagnosed with Poncet's disease. She was given quadruple antituberculosis treatment. After the treatment, the patient's joint pain regressed, and the adnexal mass due to tubal tuberculosis disappeared. In this case report, we wanted to present a rare case of Poncet's disease with tubal tuberculosis.

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Section: Discussioncontrasting

confidence: 70%

Section: Discussioncontrasting

confidence: 65%

Poncet's disease and tubal tuberculosis: A case report

Zengin,

Göre,

Sağlar

et al. 2023

Int J of Rheum Dis

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“…Initially, the management of her urosepsis adhered to the guidelines set forth by the 2021 surviving sepsis campaign, involving the administration of intravenous fluids, empirical antibiotics, and inotropes. 3 Acute kidney injury necessitated the provision of hemodialysis support. Bilateral ureteric obstruction was alleviated by the insertion of a double J stent, intended to remain in place for a duration of 6 months, with periodic monitoring with ultrasonography.…”

Section: Case Reportmentioning

confidence: 99%

Poncet’s disease, an uncommon manifestation of a common disease: a case report

Malavipathirana,

Fernando,

Senanayake

2023

J of Cey Coll of Phy

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Poncet’s disease is a form of reactive arthritis caused by active extra-articular tuberculosis. Limited data available on this rare disease has hindered a complete understanding of it. Even though its prevalence was previously disputed, the incidence has recently been increasing, prompting the need for improved knowledge. Polyarthritis can be the only initial symptom preceding overt manifestation, and it can cause disabling pain, leading to restricted mobility and function. However, even in the context of active tuberculosis, polyarthritis of Poncet’s disease can be misinterpreted as another rheumatological disease that presents similarly.We report a 47-year-old woman, who presented with inflammatory polyarthritis in the background of recurrent sterile pyuria with obstructive uropathy which was due to active genitourinary tuberculosis. She showed a dramatic resolution of symptoms following the initiation of anti-tuberculous treatment.We suggest that tuberculosis should be considered as a differential diagnosis for patients presenting with atypical joint pain, particularly in regions where tuberculosis is endemic.

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“…Additionally, sacroiliac arthritis is less common than the other types of reactive arthritis. In most cases, anti-tuberculosis therapy leads to remission, and the involvement of HLAB27 and DQB1*0301 alleles has been postulated [ 4 , 5 ]. Non-tuberculous mycobacteria (NTM) can also induce reactive arthritis, primarily through direct pathogen transmission from environmental sources or adjacent infected foci, such as surgical procedures, trauma, or needle injection [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Mycobacterium-Induced Reactive Arthritis in an Older Adult With Rheumatoid Arthritis

Yuasa,

Suyama,

Adachi

et al. 2023

Cureus

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The use of immunosuppressive medications to treat rheumatoid arthritis may trigger the activation of latent mycobacteria, leading to infection. These infections can lead to reactive arthritis. Conversely, both reactive and rheumatoid arthritis may be encountered in the geriatric population. When such complications arise, the treatment process becomes more complicated, necessitating careful consideration of elaborate therapeutic approaches. An 83-year-old man presented to our hospital with subacute back pain and arthralgia of the extremities. The patient was diagnosed with rheumatoid arthritis combined with mycobacterial arthritis. We approached the treatment cautiously by concurrently managing tuberculosis and non-tuberculous mycobacteria (NTM), and administering methotrexate and prednisolone for rheumatoid arthritis. This treatment resulted in remission of both conditions. When treating arthritis in older adults, it is important to consider the possibility of reactive arthritis secondary to mycobacterial infection and rule out latent tuberculosis. Moreover, when rheumatoid arthritis is complicated by mycobacterial infection and during the management of rheumatoid arthritis, the possibility of arthritis exacerbation due to mycobacteria should be considered. Hence, in situations where there is a likelihood of extrapulmonary lesions stemming from Mycobacterium infection, a proactive treatment approach targeting both Mycobacterium spp. and rheumatoid arthritis is indispensable.

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Tuberculous rheumatism “Poncet's disease”. Case report

Cited by 6 publications

References 11 publications

Poncet's disease and tubal tuberculosis: A case report

Poncet's disease and tubal tuberculosis: A case report

Poncet’s disease, an uncommon manifestation of a common disease: a case report

Mycobacterium-Induced Reactive Arthritis in an Older Adult With Rheumatoid Arthritis

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Tuberculous rheumatism “Poncet's disease”. Case report

Cited by 6 publications

References 11 publications

Poncet's disease and tubal tuberculosis: A case report

Poncet's disease and tubal tuberculosis: A case report

Poncet&rsquo;s disease, an uncommon manifestation of a common disease: a case report

Mycobacterium-Induced Reactive Arthritis in an Older Adult With Rheumatoid Arthritis

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Product

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Poncet’s disease, an uncommon manifestation of a common disease: a case report