Adenotonsillectomy as a treatment option for poststreptococcal uveitis.

Abstract

OBJECTIVES:

To report recurrent uveitis as a manifestation of poststreptococcal syndrome and discuss a role of adenotonsillectomy as a treatment option.

STUDY DESIGN:

Case study.

METHODS:

A case report of a 6-year-old, otherwise healthy girl with group A streptococcal uveitis managed successfully with adenotonsillectomy.

RESULTS:

In the year after surgery there were only two episodes of uveitis, contrasted with a preoperative 3-year history of 8 to 10 annual episodes despite corticosteroid therapy. Moreover, as a result of the postoperative improvement the child was able to avoid impending methotrexate therapy.

CONCLUSIONS:

Although the role of tonsillectomy in managing poststreptococcal uveitis is unknown, our results suggest a positive impact independent of the baseline tonsillitis frequency. Otolaryngologists should be aware of these uncommon sequelae of streptococcal infection and the potential role of tonsillectomy in treatment.

• Authors: Alexander Ovchinsky, Susan Schulman, Richard M Rosenfeld
• Journal: The Laryngoscope (Laryngoscope) Vol. 112 Issue 4 Pg. 658-60 (Apr 2002) ISSN: 0023-852X [Print] United States
• PMID: 12150519 (Publication Type: Case Reports, Journal Article)

Topics

• Adenoidectomy
• Child
• Female
• Humans
• Streptococcal Infections (complications)
• Streptococcus pyogenes
• Tonsillectomy
• Uveitis (microbiology, surgery)