Publication: HLA-B27 Negative Reactive Monoarthritis of the Hip Joint Triggered by Scrub Typhus: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Scrub typhus is common in rural Nepal's southern plains, but its diagnosis remains difficult due to a lack of clinical suspicion and poor diagnostic resources. The absence of common manifestations of the condition including eschar might further complicate this problem and may result in treatment delays. We report a case of scrub typhus with the primary presentation of reactive monoarthritis of the left hip joint in a 19-year-old male who presented with difficulty in walking, and pain over the left hip joint. Ultrasonography of the left hip and thigh showed features of synovitis and iliopsoas bursitis. After a meticulous workup, a diagnosis of human leukocyte antigen B27 negative reactive monoarthritis of the left hip joint triggered by scrub typhus infection was made and the patient was treated with doxycycline. Delays in treatment and the rate of complications can be prevented with high clinical suspicion and awareness of the atypical presentation of the condition.
Description
Authors
Prabin Khatri
Department of Clinical Immunology and Rheumatology, Medanta Institute of Education & Research, Gurugram, Haryana, India
Ashutosh Upadhyaya
Evergreen Hospital Pvt. Ltd., Parasi, Nawalparasi, Nepal
Nirajan Kandel
Sangla Primary Health Center, Tarkeshwor, Kathmandu, Nepal
Shriya Upadhyaya
Evergreen Hospital Pvt. Ltd., Parasi, Nawalparasi, Nepal
Himal Panth
Arogya Multispecialty Healthcare and Diagnostic Center, Bhairahawa, Rupandehi, Nepal
Keywords
HLA-B27, Case reports, Reactive arthritis, Scrub typhus