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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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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:
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
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author Relhan, Nidhi
Pathengay, Avinash
Albini, Thomas
Priya, Krishna
Jalali, Subhadra
Flynn, Harry W
author_facet Relhan, Nidhi
Pathengay, Avinash
Albini, Thomas
Priya, Krishna
Jalali, Subhadra
Flynn, Harry W
author_sort Relhan, Nidhi
collection PubMed
description 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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spelling pubmed-41690562014-09-22 A case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever Relhan, Nidhi Pathengay, Avinash Albini, Thomas Priya, Krishna Jalali, Subhadra Flynn, Harry W J Ophthalmic Inflamm Infect Brief Report 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. Springer 2014-09-18 /pmc/articles/PMC4169056/ /pubmed/25246983 http://dx.doi.org/10.1186/s12348-014-0023-y Text en Copyright © 2014 Relhan et al.; licensee Springer. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Brief Report
Relhan, Nidhi
Pathengay, Avinash
Albini, Thomas
Priya, Krishna
Jalali, Subhadra
Flynn, Harry W
A case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever
title A case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever
title_full A case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever
title_fullStr A case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever
title_full_unstemmed A case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever
title_short A case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever
title_sort case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever
topic Brief Report
url 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
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