Infectious complications in the rheumatoid arthritis during one decade in the Rheumatology Center
Keywords:
rheumatoid arthritis, sepsis opportunists, infectious complications, germs opportunistsAbstract
Introduction: The rheumatoid arthritis is an affection that is characterized by an increased risk of presenting infectious complications. Several they are the mechanisms that impact in this process, but without a doubt some the same mechanism etiopatogénico of the illness and the derived complications of the use of medications for their control occupy a preponderant paper.
Objective: To describe the most frequent infectious complications in the rheumatoid arthritis in our means.
Methods: I study descriptive, longitudinal and retrospective in the Rheumatology Center of the Hospital Educational Clinical Surgical de10 of October in the period understood among January 2001 and December of the 2011. The sample was formed by 114 patients that fulfilled the approaches of the American Collage of Rheumatology for the diagnosis of rheumatoid arthritis and that they presented infectious complications.
Results: I prevail the feminine sex in 80.7 % of the studied patients, the group with more representation the one went from 45 to 54 years with 30 patients (26.3 %). The infections were more frequent in patient with bigger time of evolution of the illness. The infections dermatological prevailed, genitourinary and breathing and the most frequent microorganisms were the Cándida Albicans, Staphylococcus Aureus and Giardia Lambia.
Conclusions: The rheumatoid arthritis is an illness that associates frequent to infectious processes where they highlight the dermatologic, genitourinary and breathing.
Downloads
References
Acosta Hernández R, Castell Pérez C, Hernández Duarte MJ, Pernas González A. Comorbilidad y mortalidad en una cohorte de pacientes cubanos con artritis reumatoide. Rev cubana med [revista en Internet]. 2009 Jun [citado 25 febrero 2014];48(2):1-12. Disponible en: http://scielo.sld.cu/pdf/med/v48n2/med04209.pdf
Mc Innes IB, Schtt G. The Pathogenesis of Rheumatoid Arthritis. N Engl J Med. 2011;365(35):2205-19.
Majithia V, Geraci SA. Rheumatoid arthritis: diagnosis and management. Am. Juan. 2007;120(11):936-9.
Mejía-Vallejo J, Román M, Amador J, Calixto LF, Iglesias-Gamarra A, Restrepo JF. Artritis séptica bilateral de rodillas asociada a injerto vascular en paciente inmunocompetente. Rev.Colomb.Reumatol. [revista en Internet]. 2008 Jan [citado 25 febrero 2014];15(1):50-3. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0121-81232008000100005&lng=en
Martínez-Rey C, Rodríguez-Framil M. Artritis séptica por Pseudomonas aeruginosa de la articulación temporomandibular en un paciente joven sin otitis externa maligna. Rev. méd. Chile [revista en Internet]. 2011 Ene [citado 12 enero 2014];139(1):126-7. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000100018&lng=es
Merino R, de Inocencio J, García-Consuegra J. Diferenciación de sinovitis transitoria y artritis séptica de cadera con criterios clínicos y ecográficos. In Anales de Pediatría. 2010;73(4):189-93.
Ulibarrena N, Andrés C, Bernaola E, Herranz M, Moreno L, García S. Artritis séptica de cadera por Haemophilus influenzae tipo F en la infancia: a propósito de un caso. Anales Sis San Navarra [revista en lInternet]. 2013 Abr [citado 14 enero 2014];36(1):163-6. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1137-66272013000100024&lng=es
Prada-Hernández D, Molinero-Rodríguez C, Martell-Sarduy R, Gómez-Morejón J, Guibert-Toledano M, Hernández-Cuellar I, Suarez-Martin R, Gil-Armenteros R. Estudio descriptivo de la actividad clínica y utilización de los fármacos modificadores de enfermedad en pacientes con Artritis Reumatoide en el Centro de Reumatología. Revista Cubana de Reumatología [revista en Internet]. 2013 [citado 25 febrero 2014];14(20):[aprox. 8 p.]. Disponible en: http://www.revreumatologia.sld.cu/index.php/reumatologia/article/view/10
Belkhir L, Rodriguez-Villalobos H, Vandercam B, Marot JC, Cornu O, Lambert M, Yombi JC. Pneumococcal septic arthritis in adults: clinical analysis and review.Acta Clin Belg. 2014;69(1):40-6.
Harris J, de Haro SA, Master SS, Keane J, Roberts EA, Delgado M, et al. T helper 2 cytokines inhibit autophagic control of intracellular Mycobacterium tuberculosis. Immunity. 2008;27(3):505-17.
Gómez Rodríguez N, Ibáñez Ruán J, González Pérez M. Artritis séptica por Listeria monocytogenes sobre rodilla protésica en una paciente con artritis reumatoide y macroglobulinemia de Waldenström. An. Med. Interna (Madrid) [revista en Internet]. 2006 Jun [citado 14 enero 2014];23(6):276-8. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S021271992006000600007&lng=es
Curtis JR. Risk of serious bacterial infection among rheumatoid arthritis patients exposed to tumor necrosis factor alfa antagonists. Arth and Rheumat. 2009;56(4):1125-33.
Salliot C, Dougados M,Gossec L. Risk of serious infections during rituximab,abatacept and anakinra treatments for rheumatoid arthritis:meta analyses of randomized placebo-controlled trial. Ann Dis. 2009;68(1):25-32.
Fazili T, Sharngoe C, Javaid W.An 86-year-old man with septic arthritis of the knee. Can J Infect Dis Med Microbiol.Spring. 2014;25(1):18-9.
Prada-Hernández D, Rosabal-Callejas N, Molinero-Rodríguez C, Gómez-Morejón J, Hernández-Cuellar I, López-Mantecón A, Rodríguez-Milera J, Méndez-Rodríguez J, Pereira-Torres J, Hernández-Casaña P, Ávila-Albuerne Y. Artritis Reumatoide: beneficios clínicos observados en pacientes tratados con anticuerpo monoclonal Itolizumab. (T1h mAB), 2 años después de recibir tratamiento. Revista Cubana de Reumatología [revista en Internet]. 2013 [citado 25 febrero 2014];13(17):[aprox. 9 p.]. Disponible en: http://www.revreumatologia.sld.cu/index.php/reumatologia/article/view/30
Gjertsson I, Lagerquist MK, Kristiansson E, Carlsten H, Lindholm C. Estradiol ameliorates arthritis and protects against systemic bone loss in Staphylococcus aureus infection in mice. Arthritis Res Ther. 2012;14(2):76-83.
Newkirk MM, Zbar A, Baron M, Manges AR. Distinct bacterial colonization patterns of Escherichia coli subtypes associate with rheumatoid factor status in early inflammatory arthritis. Rheumatology. 2010;49(7):1311-316.
Published
How to Cite
Issue
Section
License
Warning of rights of author
The authors that publish in this journal agree with the following terms:
The authors conserve the rights of author and concede to the journal the right of the first publication, fulfilling with the license Creative Commons Attribution License that allows to others share the work with recognition of the authorship of their articles, and the initial publication in this journal.
The authors can establish separately additional agreements for the no exclusive distribution of the version of the work published in the journal (for example, situate it in an institutional repository, in a personal blog or publish it partial or totally in a book), with a recognition of their initial publication in this journal.
To be able to send the manuscript or part of him passed three months of published, for his evaluation to other publishers, identifying it or not with the same title; whenever allusion is made to our journale and know it the new publisher.
The publishing committee of the Cuban Journal of Rheumatology authorizes to other publishers, to reproduce the articles published in our magazine, whenever it indicate the origin of the same.
The authors should send a document in Office Word application format through the electronic address of the magazine with a similar format to that we include next:
---------------------------------------------------------------------------------------------------------------------
Statement of authorship and cede of articles for the publication of the scientific work in the Cuban Journal of Rheumatology
Date:
Those who subscribe certify that are the authors of the work:
Of this form communicate the originality of our article clearing that the concepts and knowledges of other authors that have included in the text of the article, have been quoted properly in the bibliography.
We do proof besides that the article in question is original and has not been published, total neither partially, in another journal.
To be approved for his publication in the Cuban Journal of Rheumatology, do secession of the rights of publication to the same one through the method that realizes it usually.
In front of any catchword that exist by the article that send to evaluate, relieve of of the responsibility to the Cuban Journal of Rheumatology holding us responsible with all the difficulties that can berelated by any situation.
We include to continuation the name and the signature of all authors and collaborators of this article.
Name: Signature: