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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Autores principales: Nataneli N, Aguilera ZP, Rosenbaum PS, Goldstein T, Mayers M
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Publicado: Dove Medical Press 2011
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Nataneli N
Aguilera ZP
Rosenbaum PS
Goldstein T
Mayers M
Poststreptococcal keratouveitis associated with group C streptococcus pharyngitis
description 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
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AT aguilerazp poststreptococcalkeratouveitisassociatedwithgroupcstreptococcuspharyngitis
AT rosenbaumps poststreptococcalkeratouveitisassociatedwithgroupcstreptococcuspharyngitis
AT goldsteint poststreptococcalkeratouveitisassociatedwithgroupcstreptococcuspharyngitis
AT mayersm poststreptococcalkeratouveitisassociatedwithgroupcstreptococcuspharyngitis
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