DONALD J. KENNEDY, M.D.; JOHN A. DUNN; RICHARD N. GREENBERG, M.D.
To the editor: The association of seronegative arthropathies with inflammatory bowel disease, intestinal bypass surgery, or gram-negative infectious diarrhea is well established. The most commonly isolated bacteria responsible for the diarrhea before the onset of arthritis have been invasive organisms of the Enterobacteriaceae family (Salmonella, Shigella, and Yersinia species) as well as Brucella and Campylobacter species (1, 2). Enterotoxigenic Escherichia coli is a common cause of acute, self-limited diarrhea, but it is not routinely identified in the clinical laboratory or reported to be associated with seronegative arthropathy (3, 4). We report what we believe is the first case of a
KENNEDY DJ, DUNN JA, GREENBERG RN. A Seronegative Arthropathy and Escherichia coli Diarrhea. Ann Intern Med. 1984;101:147–148. doi: 10.7326/0003-4819-101-1-147_2
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Published: Ann Intern Med. 1984;101(1):147-148.
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