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Uveitis: an isolated complication of post-streptococcal syndrome
A Fretzayas1, M Moustaki, E Stefos
1Department of Pediatrics, Attikon University Hospital, Athens University School of Medicine, Greece. maria-m@otenet.gr
Annals of Tropical Paediatrics
|June 5, 2010
Summary
Group A streptococcal infection can cause anterior uveitis in children. Monitoring antistreptolysin O titre (ASOT) is crucial for diagnosing this post-streptococcal complication in unexplained uveitis cases.
Area of Science:
- Ophthalmology
- Rheumatology
- Infectious Diseases
Background:
- Anterior uveitis is inflammation of the eye's anterior chamber.
- Group A Streptococcus (GAS) infections are common, typically causing pharyngitis or skin infections.
- Post-infectious autoimmune phenomena can affect various organ systems.
Observation:
- A pediatric case presented with anterior uveitis as the only sign of GAS infection.
- The uveitis onset followed a presumed viral upper respiratory tract infection.
- Diagnosis of a post-streptococcal phenomenon was confirmed by serial antistreptolysin O titre (ASOT) monitoring.
Findings:
- This case highlights a rare presentation of GAS infection.
- Serial ASOT monitoring aided in diagnosing the post-streptococcal etiology.
- Few reports exist on post-streptococcal uveitis in children.
Implications:
- Ophthalmologists should consider GAS infection in children with unexplained anterior uveitis.
- Including ASOT monitoring in the diagnostic work-up may identify this rare complication.
- Early diagnosis and management can potentially prevent long-term ocular complications.
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