Granulomatous uveitis and reactive arthritis as manifestations of post-streptococcal syndrome.

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 Ophthalmol

authors

Abderrahim K,Chebil A,Falfoul Y,Bouladi M,El Matri L

doi

10.1007/s10792-012-9626-1

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

641-3

issue

5

eissn

0165-5701

issn

1573-2630

journal_volume

35

pub_type

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