Reactive arthritis induced by bacterial vaginosis: Prevention with an effective treatment

We report a 42-year-old woman with reactive arthritis induced by bacterial vaginosis who presented with oligoarthritis with an additive form,arthralgia,and enthesitis. she hasn't had a history of diarrhea or dysuria or vaginal secretion,or sexually transmitted infections (stis). the laboratory tests were normal except for a high erythrocyte sedimentation rate (esr). her pelvic examination revealed homogeneous white grey and malodorous vaginal discharge on the vaginal wall and pap smear and gram-stained smear of vaginal swab was consistent with bacterial vaginosis. she responded to metronidazole therapy and her six-month follow up hasn't shown recurrence of arthritis. as reactive arthritis (rea) is a paradigm of a rheumatic disease in which the initiating infectious cause is known,so early use of antimicrobial drugs may prevent the development of musculoskeletal symptoms which are triggered by infections.