Reactive arthritis following streptococcus viridans urinary tract infection

Purpose: To report a case with reactive arthritis (ReA) following Streptococcus viridans genitourinary infection. Methods: Case report. Design: 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.