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


METHODS
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.
Ovchinsky
Alexander
A
Department of Otolaryngology, State University of New York Health Science Center at Brooklyn, USA. ovchinsa@hotmail.com
Schulman
Susan
S
Rosenfeld
Richard M
RM
D000233:Adenoidectomy; D002648:Child; D005260:Female; D006801:Humans; D013290:Streptococcal Infections / Q000150:complications*; D013297:Streptococcus pyogenes; D014068:Tonsillectomy; D014605:Uveitis / Q000382:microbiology / Q000601:surgery*