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Post-streptococcal vasculitis.

Usha P Reddy1, Thomas A Albini, James T Banta

  • 1Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida 33146, USA.

Ocular Immunology and Inflammation
|April 2, 2008
PubMed
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Post-streptococcal retinal vasculitis is a rare condition that can affect young women. This case report highlights that retinal vasculitis can occur following streptococcal infections and may resolve with oral steroid treatment.

Area of Science:

  • Ophthalmology
  • Rheumatology
  • Infectious Diseases

Background:

  • Post-streptococcal syndromes are recognized complications of Group A Streptococcus infections.
  • Central nervous system (CNS) vasculitis is a known neurological manifestation.
  • Retinal vasculitis, an inflammation of retinal blood vessels, is less commonly associated.

Observation:

  • A 17-year-old African American female presented with symptoms of ocular inflammation.
  • Clinical examination revealed moderate vitritis and macular edema in the right eye.
  • Bilateral retinal vessel sheathing was observed on funduscopic examination.

Findings:

  • Fluorescein angiography confirmed active retinal vasculitis.
  • The patient's presentation was consistent with a post-infectious inflammatory process.

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  • The condition was diagnosed as post-streptococcal retinal vasculitis.

    • Implications:

    • This case expands the spectrum of recognized post-streptococcal autoimmune phenomena.
    • It underscores the importance of considering retinal vasculitis in patients with preceding streptococcal infections.
    • Prompt diagnosis and treatment with oral steroids can lead to favorable visual outcomes.