Reactive arthritis following Streptococcus viridans urinary tract infection.
OBJECTIVE
To report a case with reactive arthritis (ReA) following Streptococcus viridans genitourinary infection.


METHODS
Case report.


METHODS
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.


CONCLUSIONS
Streptococcus viridans is potential microorganisms of ReA. Careful survey and prompt treatment is necessary.
Department of Ophthalmology, Tri-Service General Hospital, Taipei 114, Taiwan.
Yen-Shou
YS
Chou
Chi-Ting
CT
Horng
Hsu-Shan
HS
Huang
Shing-Chuan
SC
Hu
Jian-Tong
JT
Chen
Ming-Ling
ML
Tsai
D000328:Adult; D016918:Arthritis, Reactive / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D001528:Behcet Syndrome / Q000175:diagnosis; D002981:Clindamycin / Q000627:therapeutic use; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use; D008297:Male; D000091402:Prohibitins; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014605:Uveitis / Q000188:drug therapy; D034363:Viridans Streptococci
C000717331:PHB2 protein, human; D000091402:Prohibitins; D002981:Clindamycin; D007213:Indomethacin