Poststreptococcal vasculitis involving the central nervous system (CNS) is rarely seen.
Objective:
An unusual case of vasculitis of the CNS induced by a streptococcal infection is reported.
Methods:
A MEDLINE search was done, and an additional case is reported.
Results:
Behavioural changes with neurologic symptoms and brain lesions, presented on computerized tomography (CT) study were diagnostic of CNS involvement by vasculitis, induced by poststreptococcal infection.
Conclusion:
Poststreptococcal vasculitis involving the CNS is a rare event, but this possibility should be considered when a patient with cutaneous vasculitis develops behavioural changes or neurologic symptoms.
Get full access to this article
View all access options for this article.
References
1.
SoterNA. Cutaneous necrotizing venulitis. In: FitzpatrickTBEisenAZWolffK, eds. Dermatology in general medicine. 4th ed.New York: McGraw-Hill, 1993;1501–1510.
2.
WinkelmannRKDittoWB. Cutaneous and visceral syndromes of necrotizing or ‘allergic’ angitis. Medicine1964; 43:59–89.
3.
KaplanRAZwickDLHellersteinS. Cerebral vasculitis in acute post-streptococcal glumerulonephritis. Pediatr Nephrol1993; 7:194–195.
4.
HodsonAKDoughtyRANormanME. Acute encephalopathy, streptococcal infection and cryoglobulinemia. Arch Neurol1978; 35:43–44.
5.
BondiEELazarusGS. Panniculitis. In: FitzpatrickTBEisenAZWolffK, eds. Dermatology in general medicine. 4th Ed.New York: McGraw-Hill, 1993:1339.
6.
FritschPOEliasPM. Erythema multiforme and toxic epidermal necrolysis. In: FitzpatrickTBEisenAZWolffK, eds. Dermatology in general medicine. 4th ed.New York: McGraw-Hill, 1993:585–600.
7.
ShethAPOlsonJCEsterlyNB. Cutaneous polyarteritis nodosa of childhood. J Am Acad Dermatol1994; 31:561–566.
8.
BlackerKLSternRSWintroubBU. Cutaneous reactions to drugs. In: FitzpatrickTBEisenAZWolffK, eds. Dermatology in general medicine. 4th ed.New York: McGraw-Hill, 1993:1783–1795.
