Streptococcal infection can lead to a wide range of sequelae. Peripheral nervous system injury is not well known as one of its possible complications. We report a case with a typical history for a poststreptococcal vasculitis causing an axonal neuropathy of the right common peroneal nerve.

A 17 year old girl was referred by her general practitioner due to the sudden onset of numbness on the dorsum of her right foot associated with stamping her foot on walking. She had been well until 6 weeks previously when she developed tonsillitis for which she received a 1 week course of oral penicillin V. She was also taking minocycline for mild acne. As her throat recovered she developed symmetric distal polyarthralgias and night sweats which persisted as the numbness developed. There was no history of trauma or compression of the common peroneal nerve at the neck of …