A Person suffers from HLA B 27 associated reactive ahritis, urethritis and conjunctivitis. Which is most likely organism involved in this case ?
## **Core Concept**
The question describes a condition associated with HLA-B27, characterized by reactive arthritis, urethritis, and conjunctivitis. This condition is known as **Reiter's syndrome** or **Reactive Arthritis**, which often follows a bacterial infection. HLA-B27 is a genetic marker that increases the susceptibility to this condition.
## **Why the Correct Answer is Right**
The correct answer, **Chlamydia trachomatis**, is a well-known cause of reactive arthritis, especially in the context of HLA-B27 positivity. Reactive arthritis typically occurs after certain bacterial infections, with *Chlamydia trachomatis* being a leading cause, particularly in cases involving conjunctivitis and urethritis. The condition is part of a group of diseases known as **spondyloarthropathies**.
## **Why Each Wrong Option is Incorrect**
- **Option A:** *Salmonella* can cause reactive arthritis but is more commonly associated with gastrointestinal symptoms preceding the arthritis.
- **Option B:** *Shigella* is another cause of reactive arthritis, often linked to dysentery, but less commonly associated with the specific combination of urethritis and conjunctivitis.
- **Option D:** *Yersinia* can also trigger reactive arthritis, typically following gastrointestinal infection, but is less frequently linked to the specific constellation of symptoms described.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that reactive arthritis often presents with the classic triad of **arthritis, urethritis, and conjunctivitis**. The association with HLA-B27 and the triggering infections, particularly *Chlamydia trachomatis*, is crucial for diagnosis. Remember, the presence of HLA-B27 and a preceding infection are significant diagnostic clues.
## **Correct Answer Line**
**Correct Answer: C. Chlamydia trachomatis**.