PMID- 16013782 OWN - NLM STAT- MEDLINE DCOM- 20051007 LR - 20060612 IS - 1027-3719 (Print) IS - 1027-3719 (Linking) VI - 9 IP - 7 DP - 2005 Jul TI - Poncet's disease (tuberculous rheumatism): two case reports and review of the literature. PG - 822-4 AB - We report two human leukocyte antigen (HLA) B27-positive cases of urogenital tuberculosis (TB) with asymmetric polyarthritis. Stained smears with Ehrlich Ziehl-Neelsen and polymerase chain reaction (PCR) tests for Mycobacterium tuberculosis complex (MTC) of the ejaculate were positive in both cases, despite negative cultures. Stained smear, culture and PCR results of the synovial fluid for mycobacteria were negative. The patients were diagnosed with Poncet's disease. Polyarthritis was resolved rapidly with anti-tuberculosis treatment. We suggest that in cases with unexplained arthritis and non-articular TB, Poncet's disease should be considered. PCR can be used in the routine diagnostic algorithm when conventional methods fail to identify MTC. FAU - Ozgul, A AU - Ozgul A AD - Department of Physical Medicine and Rehabilitation, Gulhane Military Medical Academy, Ankara, Turkey. aozgul@gata.edu.tr FAU - Baylan, O AU - Baylan O FAU - Taskaynatan, M A AU - Taskaynatan MA FAU - Kalyon, T A AU - Kalyon TA LA - eng PT - Case Reports PT - Journal Article PT - Review PL - France TA - Int J Tuberc Lung Dis JT - The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease JID - 9706389 RN - 0 (HLA-B27 Antigen) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - Arthritis, Reactive/drug therapy/*epidemiology MH - Blood Sedimentation MH - C-Reactive Protein/analysis MH - HLA-B27 Antigen/analysis MH - Humans MH - Male MH - Polymerase Chain Reaction MH - Tuberculosis, Urogenital/blood/diagnosis/*epidemiology RF - 17 EDAT- 2005/07/15 09:00 MHDA- 2005/10/08 09:00 CRDT- 2005/07/15 09:00 PHST- 2005/07/15 09:00 [pubmed] PHST- 2005/10/08 09:00 [medline] PHST- 2005/07/15 09:00 [entrez] PST - ppublish SO - Int J Tuberc Lung Dis. 2005 Jul;9(7):822-4.