Strep and Infectious Arthritis

Question

Can infectious arthritis caused by strep reoccur? I have never had this condition before and I’m worried about this happening again. What is the best treatment? The step infection was treated with biaxin.

Answer

Post-streptococcal reactive arthritis is the term for a type of inflammatory arthritis that can persist after certain types of Streptococcal infections in susceptible individuals.  Monitoring the titers of anti-streptolysin O (ASO) and anti-DNAse B in the blood have been proposed as a way to gauge whether the infection has cleared.  In the case of persistent infection, the use of prophylactic antibiotics has been proposed.  However, it is important to know that this condition is uncommon, and most people with arthritis symptoms after a bout of Strep do not have recurrent symptoms

Jon Giles, MD

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