Poststreptococcal keratouveitis associated with group C streptococcus pharyngitis
Nathaniel Nataneli1, Zenia P Aguilera1, Pearl S Rosenbaum1, Tamar Goldstein1,2, Martin Mayers11Department of Ophthalmology, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, NY, USA; 2Sackler School of Medicine, Tel Aviv University, Tel Aviv, IsraelPurpose: To report the fir...
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Dove Medical Press
2011
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oai:doaj.org-article:27a2b113b4a0444f80f5de3ee53b24802021-12-02T00:34:11ZPoststreptococcal keratouveitis associated with group C streptococcus pharyngitis1177-54671177-5483https://doaj.org/article/27a2b113b4a0444f80f5de3ee53b24802011-09-01T00:00:00Zhttp://www.dovepress.com/poststreptococcal-keratouveitis-associated-with-group-c-streptococcus--a8207https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Nathaniel Nataneli1, Zenia P Aguilera1, Pearl S Rosenbaum1, Tamar Goldstein1,2, Martin Mayers11Department of Ophthalmology, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, NY, USA; 2Sackler School of Medicine, Tel Aviv University, Tel Aviv, IsraelPurpose: To report the first case of poststreptococcal syndrome uveitis (PSU) in association with group C streptococcus (GCS).Patients and methods: Chart review of a 24-year-old man who presented with bilateral ocular redness, pain, and photophobia for 5 days and "white rings" around his eyes for a duration of 3 days. The patient further reported fever and sore throat in the preceding week. Slit-lamp examination showed bilateral keratouveitis. A thorough uveitis workup, antistreptolysin O (ASLO) titer, and throat culture were obtained. The patient was treated with frequent topical steroids and systemic doxycycline. The uveitis and keratitis subsided over the next few weeks, leaving extensive peripheral keratolysis.Results: The results of laboratory diagnostic testing revealed an elevated ASLO, C-reactive protein, as well as HLA-B27 positivity. Throat cultures grew beta-hemolytic GCS; group A streptococcus was culture negative.Conclusion: GCS pharyngitis may be a causative organism of PSU.Keywords: pharyngitis, keratolysis, keratouveitisNataneli NAguilera ZPRosenbaum PSGoldstein TMayers MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1257-1259 (2011) |
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Ophthalmology RE1-994 Nataneli N Aguilera ZP Rosenbaum PS Goldstein T Mayers M Poststreptococcal keratouveitis associated with group C streptococcus pharyngitis |
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Nathaniel Nataneli1, Zenia P Aguilera1, Pearl S Rosenbaum1, Tamar Goldstein1,2, Martin Mayers11Department of Ophthalmology, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, NY, USA; 2Sackler School of Medicine, Tel Aviv University, Tel Aviv, IsraelPurpose: To report the first case of poststreptococcal syndrome uveitis (PSU) in association with group C streptococcus (GCS).Patients and methods: Chart review of a 24-year-old man who presented with bilateral ocular redness, pain, and photophobia for 5 days and "white rings" around his eyes for a duration of 3 days. The patient further reported fever and sore throat in the preceding week. Slit-lamp examination showed bilateral keratouveitis. A thorough uveitis workup, antistreptolysin O (ASLO) titer, and throat culture were obtained. The patient was treated with frequent topical steroids and systemic doxycycline. The uveitis and keratitis subsided over the next few weeks, leaving extensive peripheral keratolysis.Results: The results of laboratory diagnostic testing revealed an elevated ASLO, C-reactive protein, as well as HLA-B27 positivity. Throat cultures grew beta-hemolytic GCS; group A streptococcus was culture negative.Conclusion: GCS pharyngitis may be a causative organism of PSU.Keywords: pharyngitis, keratolysis, keratouveitis |
format |
article |
author |
Nataneli N Aguilera ZP Rosenbaum PS Goldstein T Mayers M |
author_facet |
Nataneli N Aguilera ZP Rosenbaum PS Goldstein T Mayers M |
author_sort |
Nataneli N |
title |
Poststreptococcal keratouveitis associated with group C streptococcus pharyngitis |
title_short |
Poststreptococcal keratouveitis associated with group C streptococcus pharyngitis |
title_full |
Poststreptococcal keratouveitis associated with group C streptococcus pharyngitis |
title_fullStr |
Poststreptococcal keratouveitis associated with group C streptococcus pharyngitis |
title_full_unstemmed |
Poststreptococcal keratouveitis associated with group C streptococcus pharyngitis |
title_sort |
poststreptococcal keratouveitis associated with group c streptococcus pharyngitis |
publisher |
Dove Medical Press |
publishDate |
2011 |
url |
https://doaj.org/article/27a2b113b4a0444f80f5de3ee53b2480 |
work_keys_str_mv |
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