{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:20:54Z","timestamp":1760188854098},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2005,11,29]],"date-time":"2005-11-29T00:00:00Z","timestamp":1133222400000},"content-version":"vor","delay-in-days":7091,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[1986,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Synovitis in toxic shock syndrome (TSS) is an unusual finding. A 31\u2010year\u2010old man presented with pain and swelling in both knees and was found to have TSS, secondary to a septic bursitis caused by <jats:italic>Staphylococcus aureus.<\/jats:italic> Immune complexes were not detected in serum or synovial fluid, and the <jats:italic>S aureus<\/jats:italic> was not recovered from the inflamed joints. Antibodies against the TSS toxin\u20101 were detected in serum and synovial fluid, but in lower levels than would be seen in a normal control serum. Complement studies implicated alternative pathway activation by a marked diminution in C3 levels compared with C4 levels, and by lower levels of factor B than would be found in other inflammatory joint diseases. The diagnostic dilemma posed by TSS in a man is discussed.<\/jats:p>","DOI":"10.1002\/art.1780290715","type":"journal-article","created":{"date-parts":[[2007,2,14]],"date-time":"2007-02-14T21:21:54Z","timestamp":1171488114000},"page":"910-912","source":"Crossref","is-referenced-by-count":9,"title":["Aseptic arthritis in a man with toxic shock syndrome"],"prefix":"10.1002","volume":"29","author":[{"given":"Elie","family":"Gertner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert D.","family":"Inman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,11,29]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-96-6-871"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-96-6-843"},{"key":"e_1_2_1_4_2","first-page":"267","article-title":"Toxic shock syndrome associated with symmetrical polyarthritis","volume":"64","author":"Soldin JV","year":"1981","journal-title":"Minn Med"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI109345"},{"key":"e_1_2_1_6_2","doi-asserted-by":"crossref","first-page":"4350","DOI":"10.1073\/pnas.76.9.4350","article-title":"Electrophoretic transfer of proteins from polyaerylamide gels to nitrocellulose sheets: procedure and some applications","volume":"76","author":"Towbin H","year":"1979","journal-title":"Proc Natl Acad Sci USA"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-2697(81)90281-5"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-96-6-969"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-96-6-986"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198109103051112"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(81)92186-3"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/151.5.883"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/148.4.692"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/147.3.391"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-94-2-156"},{"key":"e_1_2_1_16_2","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1128\/iai.46.3.727-732.1984","article-title":"Enhanced susceptibility of male rabbits to infection with a toxic shock strain of Staphylococcus aureus","volume":"46","author":"Best GK","year":"1984","journal-title":"Infect Immun"}],"container-title":["Arthritis &amp; Rheumatism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fart.1780290715","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/art.1780290715","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T22:06:33Z","timestamp":1700690793000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/art.1780290715"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1986,7]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1986,7]]}},"alternative-id":["10.1002\/art.1780290715"],"URL":"https:\/\/doi.org\/10.1002\/art.1780290715","archive":["Portico"],"relation":{},"ISSN":["0004-3591","1529-0131"],"issn-type":[{"value":"0004-3591","type":"print"},{"value":"1529-0131","type":"electronic"}],"subject":[],"published":{"date-parts":[[1986,7]]}}}