%0 Journal Article
%T A case of reactive arthritis secondary to sexually acquired Shigella flexneri
%A Claire Y Wenham
%A Jennifer Murira
%A Sarah L Kennedy
%J Archive of "Oxford Medical Case Reports".
%D 2017
%R 10.1093/omcr/omx070
%X We present the first documented case of reactive arthritis (ReA) secondary to sexually acquired Shigella flexneri infection. The case occurred in the context of a recent change in Shigella epidemiology in England where non-travel associated cases are now contributing the majority of diagnoses. Such non-travel associated cases are occurring predominantly in men who have sex with men with high sexual risk taking behaviour reflecting the importance of the sexual history when assessing a man with Shigella infection who has not travelled. We suggest Shigella can be thought of as a cause of sexually acquired ReA and not just a form of enteric ReA. Referral to sexual health services for further management is essential
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5934645/