Seronegative spondyloarthropathy (reactive arthritis) fourteen days following E. coli UTI: Case report

Abstract

Reactive arthritis (ReA) is a post-infectious autoimmune condition classified as a seronegative spondyloarthritis (SpA). The current case report presents a 30-year-old female returned for follow-up visits after an acute onset of back pain that progressed to joint swelling and tenderness in both knees, and excruciating pain in her heels and the bottom of her feet four weeks ago. Two weeks prior to the onset of symptoms, the patient was treated for a urinary tract infection (UTI). Due to the symptoms and the inability to ambulate caused by feet pain, the patient was required to admit to a hospital for further evaluation. This case report depicts a unique presentation of ReA following UTI, and the discussion section aiding healthcare professionals in the diagnosis and management of ReA and patient education on ReA and disease course.