Department of Ophthalmology, Tri-Service General Hospital, Taipei 114, Taiwan.
Ocul Immunol Inflamm. 2010 Jan;18(1):52-3. doi: 10.3109/09273940903414517.
To report a case with reactive arthritis (ReA) following Streptococcus viridans genitourinary infection.
Case report.
Clinical findings and treatment are presented. The 28-year-old man visited the authors' hospital due to ciliary injection and hypopyon over left eye. On examination, Behcet-mimicking symptoms were observed, such as genital and oral ulcers and arthritis. Furthermore, S. viridans was found in the urethral discharge culture. Under the impression of ReA, which was triggered by S. viridans, NSAID and antibiotics were prescribed. Complete resolution of ocular and systemic symptoms was achieved after 2 months of treatment.
Streptococcus viridans is potential microorganisms of ReA. Careful survey and prompt treatment is necessary.
报告 1 例 28 岁男性患者，因草绿色链球菌泌尿生殖道感染后继发反应性关节炎（ReA）。
病例报告。
介绍临床发现和治疗经过。该患者因左眼睫状充血和前房积脓就诊。检查发现有类贝赫切特病的表现，如生殖器和口腔溃疡及关节炎。此外，尿道分泌物培养出草绿色链球菌。考虑到该患者由草绿色链球菌引发的 ReA，给予非甾体抗炎药和抗生素治疗。治疗 2 个月后，眼部和全身症状完全缓解。
草绿色链球菌是 ReA 的潜在病原体。需要仔细调查和及时治疗。
