Scientific Research and Essays

  • Abbreviation: Sci. Res. Essays
  • Language: English
  • ISSN: 1992-2248
  • DOI: 10.5897/SRE
  • Start Year: 2006
  • Published Articles: 2748

Case Report

Reiter's syndrome presenting with lumbar and leg pain as the chief complaint: A case report and literature review

Qingjun Liu
  • Qingjun Liu
  • Department of Orthopaedic Surgery, the Affiliated Southeast Hospital of Xiamen University, Orthopaedic Trauma Center of PLA, Zhangzhou, 363000, PR China.
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Jianyun Miao
  • Jianyun Miao
  • Department of Orthopaedic Surgery, the Affiliated Southeast Hospital of Xiamen University, Orthopaedic Trauma Center of PLA, Zhangzhou, 363000, PR China.
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Kejian Lian
  • Kejian Lian
  • Department of Orthopaedic Surgery, the Affiliated Southeast Hospital of Xiamen University, Orthopaedic Trauma Center of PLA, Zhangzhou, 363000, PR China.
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Lianshui Huang
  • Lianshui Huang
  • Department of Orthopaedic Surgery, the Affiliated Southeast Hospital of Xiamen University, Orthopaedic Trauma Center of PLA, Zhangzhou, 363000, PR China.
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  •  Received: 29 May 2012
  •  Accepted: 04 December 2014
  •  Published: 30 December 2014

Abstract

Reiter’s syndrome is usually known as a clinical triad of arthritis, urethritis, and conjunctivitis. Peripheral nerve involvement in Reiter's syndrome is extremely rare. We report here on a 36-year-old man presenting to the orthopedic department with a chief complaint of lumbar and leg pain who initially was found to have lumbar intervertebral disc and was diagnosed as Reiter’s syndrome 3 months later. Human leukocyte antigen (HLA)–B27 test and bacterial culture of urine were positive. Clinical symptoms were relieved after conservative treatment with celecoxib, dexamethasone and antibiotics. This case suggests that Reiter's syndrome can present as lumbar spine lesions and should be considered in the differential diagnosis of lumbar intervertebral disc.
 
Key words: Lumbar and leg pain, Reiter’s syndrome.