Rheumatoid arthritis and bacterial infections

To study features of bacterial infections course in pts with rheumatoid arthritis (RA) and changes of laboratory measures after focus of infection sanation. Material and methods. 46 pts with definite rheumatoid arthritis were examined at the time of comorbid infection (Cl) detection and after infect...

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Main Authors: N L Prokopjeva, N N Vesikova, I M Marusenko, V A Ryabkov
Format: Article
Language:Russian
Published: IMA PRESS LLC 2008-02-01
Series:Научно-практическая ревматология
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Online Access:https://rsp.mediar-press.net/rsp/article/view/983
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author N L Prokopjeva
N N Vesikova
I M Marusenko
V A Ryabkov
author_facet N L Prokopjeva
N N Vesikova
I M Marusenko
V A Ryabkov
author_sort N L Prokopjeva
collection DOAJ
description To study features of bacterial infections course in pts with rheumatoid arthritis (RA) and changes of laboratory measures after focus of infection sanation. Material and methods. 46 pts with definite rheumatoid arthritis were examined at the time of comorbid infection (Cl) detection and after infection focus sanation. Bacteriological test with evaluation of flora sensitivity to antibiotics by disco-diffusion method was performed at baseline and after the course of antibacterial therapy to assess its efficacy. Hemogram, serum fibrinogen, rheumatoid factor, circulating immune complexes (CIC), C-reactive protein levels were assessed. Serum interleukin (IL) 1(3, IL6 and neopterin concentrations were examined by immune-enzyme assay in a part of pts. Typical clinical features of Cl were present in only 28 (60,9%) pts. 13 (28,3%) pts had fever, 12 (26,0%) — leukocytosis, 15 (32,6%) — changes of leucocyte populations. Some laboratory measures (thrombocytes, fibrinogen, CIC, neopterin levels) significantly decreased (p<0,05) after infection focus sanation without correction of disease modifying therapy. Cl quite often develop as asymptomatic processes most often in pts with high activity and can induce disturbances promoting appearance of endothelial dysfunction, atherothrombosis and reduction of life duration. So timely detection and proper sanation of infection focuses should be performed in pts with RA
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issn 1995-4484
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publishDate 2008-02-01
publisher IMA PRESS LLC
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series Научно-практическая ревматология
spelling doaj-art-dab98b81a44342a8b6c0eb126adaefb92025-08-20T03:01:57ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922008-02-01461253010.14412/1995-4484-2008-850923Rheumatoid arthritis and bacterial infectionsN L ProkopjevaN N VesikovaI M MarusenkoV A RyabkovTo study features of bacterial infections course in pts with rheumatoid arthritis (RA) and changes of laboratory measures after focus of infection sanation. Material and methods. 46 pts with definite rheumatoid arthritis were examined at the time of comorbid infection (Cl) detection and after infection focus sanation. Bacteriological test with evaluation of flora sensitivity to antibiotics by disco-diffusion method was performed at baseline and after the course of antibacterial therapy to assess its efficacy. Hemogram, serum fibrinogen, rheumatoid factor, circulating immune complexes (CIC), C-reactive protein levels were assessed. Serum interleukin (IL) 1(3, IL6 and neopterin concentrations were examined by immune-enzyme assay in a part of pts. Typical clinical features of Cl were present in only 28 (60,9%) pts. 13 (28,3%) pts had fever, 12 (26,0%) — leukocytosis, 15 (32,6%) — changes of leucocyte populations. Some laboratory measures (thrombocytes, fibrinogen, CIC, neopterin levels) significantly decreased (p<0,05) after infection focus sanation without correction of disease modifying therapy. Cl quite often develop as asymptomatic processes most often in pts with high activity and can induce disturbances promoting appearance of endothelial dysfunction, atherothrombosis and reduction of life duration. So timely detection and proper sanation of infection focuses should be performed in pts with RAhttps://rsp.mediar-press.net/rsp/article/view/983rheumatoid arthritiscomorbid infectioninterleukinsneopterin
spellingShingle N L Prokopjeva
N N Vesikova
I M Marusenko
V A Ryabkov
Rheumatoid arthritis and bacterial infections
Научно-практическая ревматология
rheumatoid arthritis
comorbid infection
interleukins
neopterin
title Rheumatoid arthritis and bacterial infections
title_full Rheumatoid arthritis and bacterial infections
title_fullStr Rheumatoid arthritis and bacterial infections
title_full_unstemmed Rheumatoid arthritis and bacterial infections
title_short Rheumatoid arthritis and bacterial infections
title_sort rheumatoid arthritis and bacterial infections
topic rheumatoid arthritis
comorbid infection
interleukins
neopterin
url https://rsp.mediar-press.net/rsp/article/view/983
work_keys_str_mv AT nlprokopjeva rheumatoidarthritisandbacterialinfections
AT nnvesikova rheumatoidarthritisandbacterialinfections
AT immarusenko rheumatoidarthritisandbacterialinfections
AT varyabkov rheumatoidarthritisandbacterialinfections