Post-Streptococcal Vasculitis

Abstract

Although CNS vasculitis is well recognized as a post-streptococcal syndrome, this case illustrates that retinal vasculitis can also occur in this setting, and can resolve with oral steroid therapy.

Recurrent Bilateral Retinal Vasculitis as a Manifestation of Post-streptococcal Uveitis Syndrome

“…Anterior non-granulomatous uveitis and, less frequently, posterior uveitis in young people were previously reported as manifestations of ocular involvement of post-streptococcal syndrome [2-5]. There have also been reported cases of retinal vasculitis and papillophlebitis [1,6]. Here, we describe the first case of post-streptococcal uveitis in Korea, which mainly presented with recurrent retinal vasculitis without significant anterior inflammation.…”

“…Only one case of retinal vasculitis and a single case of papillophlebitis were reported both without recurrence [1,6]. The previously reported retinal vasculitis case was associated with a history of streptococcal pharyngitis and scarlet fever which had been treated with IV penicillin 2 weeks before presentation of uveitis.…”

“…Post-streptococcal syndrome is a systemic autoimmune disease that involves the heart, kidneys, skin, and eyes. Manifestations may include rheumatic fever, glomerulonephritis, and erythema nodosum [1]. Anterior non-granulomatous uveitis and, less frequently, posterior uveitis in young people were previously reported as manifestations of ocular involvement of post-streptococcal syndrome [2-5].…”

Acute cholecystitis in a child with scarlet fever: A rare association

“…However, hepatitis and vasculitis are other rare complications described in the literature. [2][3][4] Acute cholecystitis as a complication of typhoid and various viral infections such as Epstein-Barr virus, CMV and hepatitis A and B has been well described in the existing literature; however, the association of scarlet fever with acute cholecystitis has rarely been Group A streptococcal infection is common in children; however, scarlet fever is now considered rare except for isolated outbreaks. One of the rarest complications of scarlet fever is acute cholecystitis -very few cases have been reported in the literature.…”

Differenzialdiagnose der infektiösen posterioren Uveitis

“…Differenzialdiagnostisch ist dies allerdings nicht immer von einer autoimmunen, vaso-okklusiv bedingten Netzhautnekrose im Rahmen eines Morbus Behçet, dem Vogt-Koyanagi-Harada(VKH)-Syndrom, einer atypischen Lues-assoziierten Uveitis oder einer aggressiven Verlaufsform einer erworbenen Toxoplasmose abgrenzbar. Eine primäre oder vorwiegend vaskulitische Manifestation weist meist auf eine Autoimmunerkrankung der Netzhaut hin, wobei der Morbus Behçet, die Sarkoidose (Morbus Boeck), Kollagenosen und der Morbus Eales abzugrenzen sind[12,13]. Neben der Präsentation der Läsion spielen die Dauer der Symptome und die Progression der Erkrankung für die differenzialdiagnostische Einordnung eine zentrale Rolle.…”