Acute Bilateral Scleritis After Recent Streptococcal Infection

• DOI: 10.7326/aimcc.2024.0760
• Publication Date: 2025-02-04T22:00:21Z
• Authors: Anna Sun; Omar Moussa; Joseph Grimes; Royce W.S. Chen
• Keywords: STREPTOCOCCAL INFECTIONS

A 67-year-old woman with no prior ocular history and culture-confirmed streptococcal pharyngitis presented bilateral eye redness, pain movement, swelling, blurry vision. Her condition worsened initial conservative treatment. Repeat imaging indicated scleritis, laboratory test results showed elevated antistreptolysin-O titers. After steroid treatment, her vision returned to baseline symptoms resolved. Acute scleritis is important consider in a patient recent infection despite penicillin Besides findings, patients may not present dermatologic or rheumatologic symptoms. Internists should repeat work-up, as early treatment can rapidly improve the recover