Scleritis, uveitis, and glaucoma in a patient with rheumatic fever.

PURPOSE

To determine the origin of scleritis, uveitis, and glaucoma in a boy with fever, sore throat, joint pains, and malaise.

METHODS

The patient underwent extensive hematologic, serologic, rheumatologic, and radiologic examinations.

RESULTS

The patient recovered after extensive medical therapy. He met the Jones criteria for the diagnosis of acute rheumatic fever and had an increased result for antistreptolysin O antibody titer.

CONCLUSIONS

Antistreptococcal antibody testing is helpful in diagnosing rheumatic fever as a cause of scleritis, uveitis, and glaucoma.