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Inclusion Conjunctivitis and Reiter's Syndrome in a Married Couple: Chlamydia Infections in a Series of Both Diseases

Inclusion Conjunctivitis and Reiter's Syndrome in a Married Couple: Chlamydia Infections in a... Abstract A 21-year-old woman presented with inclusion conjunctivitis followed by iritis. Her husband had developed Reiter's syndrome two years previously. Chlamydia (psittacosis-lymphogranuloma-trachoma or Bedsonia) agent was demonstrated in both husband and wife. This study compares a series of 26 patients with inclusion conjunctivitis and a series of 24 patients with Reiter's syndrome in whom chlamydial infection was demonstrated. In all patients with inclusion conjunctivitis, follicular keratoconjunctivitis was present, and two developed uveitis. Among patients with Reiter's syndrome and Chlamydia infection, one patient had follicular keratoconjunctivitis, two had keratitis, and four had iritis. If some cases of Reiter's syndrome are caused by Chlamydia infections, the disease may be an unusual host response to the agent rather than a direct result of infection as with inclusion conjunctivitis. References 1. Bauer, W., and Engleman, E.P.: A Syndrome of Unknown Etiology Characterized by Urethritis, Conjunctivitis and Arthritis (So-Called Reiter's Disease) , Trans Assoc Amer Physicians 57:307-313, 1942. 2. Weinberger, H.W., et al: Reiter's Syndrome, Clinical and Pathologic Observations: A Long Term Study of 16 Cases , Medicine 41:35-91, 1962.Crossref 3. Csonka, G.W.: Reiter's Syndrome , Ergebn Inn Med Kinderheilk 23:125-189, 1965. 4. Paronen, I.: Reiter's Disease: A Study of 344 Cases Observed in Finland , Acta Med Scand 212-( (suppl) ):7-112, 1948. 5. Noer, H.R.: An "Experimental" Epidemic of Reiter's Syndrome , JAMA 198:693-698, 1966.Crossref 6. Reiter, H.: Ueber eine bisher unerkannte Spirochäten infektion (Spirochaetosis arthrica) , Deutsch Med Wschr 42:1535-1536, 1916.Crossref 7. Schachter, J., et al: Isolation of Bedsoniae From the Joints of Patients With Reiter's Syndrome , Proc Soc Exp Biol Med 122:283-285, 1966.Crossref 8. Schachter, J.: Isolation of Bedsoniae From Human Arthritis and Abortion Tissues , Amer J Ophthal 63( (pt 2) ):1082-1086, 1967. 9. Jones, B.R., et al: Infection by TRIC Agent and Other Members of the Bedsonia Group; With a Note on Reiter's Disease: I. Ocular Disease in the Adult , Trans Ophthal Soc UK 86:291-309, 1966. 10. Dawson, C.R., and Schachter, J.: TRIC Agent Infections of the Eye and Genital Tract , Amer J Ophthal 63( (pt 2) ):1288-1298, 1967. 11. Schachter, J., et al: Comparison of Procedures for the Laboratory Diagnosis of Oculogenital Infections With Inclusion Conjunctivitis Agents , Amer J Epidemiol 85:453-458, 1967. 12. Engleman, E.P., and Weber, H.M.: Reiter's Syndrome , Clin Orthop 57:19-29, 1968. 13. Dawson, G.R., et al: Experimental Inclusion Conjunctivitis in Man: III. Keratitis and Other Complications , Arch Ophthal 78:341-349, 1967.Crossref 14. Gilbert, R.J., et al: Antibiotic Therapy in Experimental Bedsonia Arthritis , abstracted, Arthritis Rheum 12:299 ( (June) ) 1969. 15. Oster, H.B., et al: Animal Studies of a Bedsonia Agent Isolated From the Synovial Membrane of a Patient With Reiter's Syndrome , Arthritis Rheum 12:320-321 ( (June) ) 1969. 16. Meyer, K.F.: The Host Spectrum of Psittacosis-Lymphogranuloma Venereum (PL) Agents , Amer J Ophthal 63( (pt 2) ):1225-1246, 1967. 17. Jawetz, E., et al: Subclinical Infections With TRIC Agents , Amer J Ophthal 63( (pt 2) ):1413-1424, 1967. 18. Dawson, C.R.; Hanna, L.; and Jawetz, E.: Controlled Treatment Trials of Trachoma in American Indian Children , Lancet 2:961-964, 1967.Crossref 19. Dawson, C.R., et al: Controlled Trials With Trisulfapyrimidines in the Treatment of Chronic Trachoma , J Infect Dis 119:581-590, 1969.Crossref 20. Kimura, S.J., et al: Uveitis and Joint Disease: Clinical Findings in 191 Cases , Arch Ophthal 77:309-316, 1967.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Inclusion Conjunctivitis and Reiter's Syndrome in a Married Couple: Chlamydia Infections in a Series of Both Diseases

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References (21)

Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1970.00990030302006
Publisher site
See Article on Publisher Site

Abstract

Abstract A 21-year-old woman presented with inclusion conjunctivitis followed by iritis. Her husband had developed Reiter's syndrome two years previously. Chlamydia (psittacosis-lymphogranuloma-trachoma or Bedsonia) agent was demonstrated in both husband and wife. This study compares a series of 26 patients with inclusion conjunctivitis and a series of 24 patients with Reiter's syndrome in whom chlamydial infection was demonstrated. In all patients with inclusion conjunctivitis, follicular keratoconjunctivitis was present, and two developed uveitis. Among patients with Reiter's syndrome and Chlamydia infection, one patient had follicular keratoconjunctivitis, two had keratitis, and four had iritis. If some cases of Reiter's syndrome are caused by Chlamydia infections, the disease may be an unusual host response to the agent rather than a direct result of infection as with inclusion conjunctivitis. References 1. Bauer, W., and Engleman, E.P.: A Syndrome of Unknown Etiology Characterized by Urethritis, Conjunctivitis and Arthritis (So-Called Reiter's Disease) , Trans Assoc Amer Physicians 57:307-313, 1942. 2. Weinberger, H.W., et al: Reiter's Syndrome, Clinical and Pathologic Observations: A Long Term Study of 16 Cases , Medicine 41:35-91, 1962.Crossref 3. Csonka, G.W.: Reiter's Syndrome , Ergebn Inn Med Kinderheilk 23:125-189, 1965. 4. Paronen, I.: Reiter's Disease: A Study of 344 Cases Observed in Finland , Acta Med Scand 212-( (suppl) ):7-112, 1948. 5. Noer, H.R.: An "Experimental" Epidemic of Reiter's Syndrome , JAMA 198:693-698, 1966.Crossref 6. Reiter, H.: Ueber eine bisher unerkannte Spirochäten infektion (Spirochaetosis arthrica) , Deutsch Med Wschr 42:1535-1536, 1916.Crossref 7. Schachter, J., et al: Isolation of Bedsoniae From the Joints of Patients With Reiter's Syndrome , Proc Soc Exp Biol Med 122:283-285, 1966.Crossref 8. Schachter, J.: Isolation of Bedsoniae From Human Arthritis and Abortion Tissues , Amer J Ophthal 63( (pt 2) ):1082-1086, 1967. 9. Jones, B.R., et al: Infection by TRIC Agent and Other Members of the Bedsonia Group; With a Note on Reiter's Disease: I. Ocular Disease in the Adult , Trans Ophthal Soc UK 86:291-309, 1966. 10. Dawson, C.R., and Schachter, J.: TRIC Agent Infections of the Eye and Genital Tract , Amer J Ophthal 63( (pt 2) ):1288-1298, 1967. 11. Schachter, J., et al: Comparison of Procedures for the Laboratory Diagnosis of Oculogenital Infections With Inclusion Conjunctivitis Agents , Amer J Epidemiol 85:453-458, 1967. 12. Engleman, E.P., and Weber, H.M.: Reiter's Syndrome , Clin Orthop 57:19-29, 1968. 13. Dawson, G.R., et al: Experimental Inclusion Conjunctivitis in Man: III. Keratitis and Other Complications , Arch Ophthal 78:341-349, 1967.Crossref 14. Gilbert, R.J., et al: Antibiotic Therapy in Experimental Bedsonia Arthritis , abstracted, Arthritis Rheum 12:299 ( (June) ) 1969. 15. Oster, H.B., et al: Animal Studies of a Bedsonia Agent Isolated From the Synovial Membrane of a Patient With Reiter's Syndrome , Arthritis Rheum 12:320-321 ( (June) ) 1969. 16. Meyer, K.F.: The Host Spectrum of Psittacosis-Lymphogranuloma Venereum (PL) Agents , Amer J Ophthal 63( (pt 2) ):1225-1246, 1967. 17. Jawetz, E., et al: Subclinical Infections With TRIC Agents , Amer J Ophthal 63( (pt 2) ):1413-1424, 1967. 18. Dawson, C.R.; Hanna, L.; and Jawetz, E.: Controlled Treatment Trials of Trachoma in American Indian Children , Lancet 2:961-964, 1967.Crossref 19. Dawson, C.R., et al: Controlled Trials With Trisulfapyrimidines in the Treatment of Chronic Trachoma , J Infect Dis 119:581-590, 1969.Crossref 20. Kimura, S.J., et al: Uveitis and Joint Disease: Clinical Findings in 191 Cases , Arch Ophthal 77:309-316, 1967.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Mar 1, 1970

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