A case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever

BACKGROUND: Ocular and extraocular immune-mediated phenomena are known to occur following febrile illness. Vasculitis, retinitis and neurosensory detachment are not well-recognized sequelae of typhoid fever. FINDINGS: We report a case of vasculitis, retinitis and macular neurosensory detachment pres...

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Detalles Bibliográficos
Autores principales: Relhan, Nidhi, Pathengay, Avinash, Albini, Thomas, Priya, Krishna, Jalali, Subhadra, Flynn, Harry W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer 2014
Materias:
Brief Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4169056/
https://www.ncbi.nlm.nih.gov/pubmed/25246983
http://dx.doi.org/10.1186/s12348-014-0023-y
Descripción
Sumario:BACKGROUND: Ocular and extraocular immune-mediated phenomena are known to occur following febrile illness. Vasculitis, retinitis and neurosensory detachment are not well-recognized sequelae of typhoid fever. FINDINGS: We report a case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever. A 27-year-old female presented with decreased vision in right eye with history of typhoid fever (treated adequately 6 weeks prior). Her best corrected visual acuity in right eye was 20/125, N36. Fundus showed a patch of vasculitis and retinitis superior to the disc associated with macular neurosensory detachment and disc pallor. With oral steroids, the inflammation resolved and visual acuity improved to 20/20 at 6 weeks. CONCLUSIONS: Immune-mediated vasculitis and retinitis following typhoid fever may respond well to systemic steroids.

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