PURPOSE: To determine the origin of scleritis, uveitis, and glaucoma i
n a boy with fever, sore throat, joint pains, and malaise. METHODS: Th
e patient underwent extensive hematologic, serologic, rheumatologic, a
nd radiologic examinations. RESULTS: The patient recovered after exten
sive medical therapy. He met: the Jones criteria for the diagnosis of
acute rheumatic fever and had an increased result for antistreptolysin
O antibody titer. CONCLUSIONS: Antistreptococcal antibody testing is
helpful in diagnosing rheumatic fever as a cause of scleritis, uveitis
, and glaucoma.