Abstract:
:To report a case of bilateral granulomatous post-streptococcal syndrome uveitis in association with reactive arthritis as manifestation of post-streptococcal syndrome. To our knowledge, this could represent the first reported case in the literature. A 9-year-old girl, with no past ocular history, presented with a 5-day history of bilateral blurred vision, red eyes, photophobia and walking difficulties because of a right ankle pain. Ophthalmic examination disclosed a visual acuity limited to hand motion, mutton-fat keratic precipitates, anterior chamber cells and posterior synechiae in both eyes. Ocular pressure was normal. Physical examination showed a fever (38 °C), inflammatory ankle arthritis and scarlet fever (streptococcal lesion). Anti-streptococcal lysine O titer was 419 μ/ml. The patient was treated with topical steroids, cycloplegics, high-dose oral steroids and preventive course of penicillin with total improvement and no recurrence. Post-streptococcal syndrome should be considered in the etiology of acute bilateral granulomatous uveitis in children, and anti-streptococcal lysine O titer should be considered in serodiagnostic testing.
journal_name
Int Ophthalmoljournal_title
International ophthalmologyauthors
Abderrahim K,Chebil A,Falfoul Y,Bouladi M,El Matri Ldoi
10.1007/s10792-012-9626-1subject
Has Abstractpub_date
2015-10-01 00:00:00pages
641-3issue
5eissn
0165-5701issn
1573-2630journal_volume
35pub_type
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pub_type: 杂志文章,已发布勘误
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