Post-streptococcal uveitis syndrome in a middle-aged adult patient.
Norman Saffra, Yostena Farag, Michael Saffra et al.
✦ AI-curated · Sources linked
Case in brief
A 53-year-old woman developed bilateral panuveitis after a documented case of streptococcal pharyngitis. She presented with photophobia, blurred vision, and floaters. Examination revealed bilateral anterior segment inflammation, cystoid macular edema, optic disc edema, and retinal vasculitis. Elevated anti-streptolysin O titres and imaging findings confirmed the diagnosis. Treatment with corticosteroids resulted in complete resolution over 8 months, with sustained remission at 22 months.
What made this case unusual
This case is notable for being one of the oldest reported instances of post-streptococcal uveitis syndrome, which typically affects younger patients.
Diagnostic / clinical pearl
Clinicians should consider post-streptococcal uveitis syndrome in the differential diagnosis of uveitis in older patients, especially with a recent history of streptococcal infection.