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Author’s reply to ‘Rickettsia retinitis cases in India: a few comments’
Diagnosis of rickettsial retinitis remains presumptive when gold standard tests are not available or not done due to financial constrains. History of tick bite followed by fever with skin rash particularly in winter and spring season may point towards Rickettsiosis. The absence of scarring post reso...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4896890/ https://www.ncbi.nlm.nih.gov/pubmed/27271975 http://dx.doi.org/10.1186/s12348-016-0086-z |
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author | Kawali, Ankush A. Mahendradas, Padmamalini Gupta, Kanav Srinivasan, Priya Avadhani, Kavitha Yadav, Naresh Kumar Shetty, Rohit |
author_facet | Kawali, Ankush A. Mahendradas, Padmamalini Gupta, Kanav Srinivasan, Priya Avadhani, Kavitha Yadav, Naresh Kumar Shetty, Rohit |
author_sort | Kawali, Ankush A. |
collection | PubMed |
description | Diagnosis of rickettsial retinitis remains presumptive when gold standard tests are not available or not done due to financial constrains. History of tick bite followed by fever with skin rash particularly in winter and spring season may point towards Rickettsiosis. The absence of scarring post resolution of rickettsial retinitis suggests inner retinal involvement in contrast to toxoplasmosis. Bilaterality of the disease, 2–4 weeks of latent period, and multifocal nature of retinitis lesions (cotton wool spot-like lesions) especially around the disc and posterior pole may suggest an immune response to recent systemic infection. The use of only antibiotics or only steroids or both together for treatment of rickettsial retinitis is controversial and warrants randomized controlled trials. |
format | Online Article Text |
id | pubmed-4896890 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-48968902016-06-24 Author’s reply to ‘Rickettsia retinitis cases in India: a few comments’ Kawali, Ankush A. Mahendradas, Padmamalini Gupta, Kanav Srinivasan, Priya Avadhani, Kavitha Yadav, Naresh Kumar Shetty, Rohit J Ophthalmic Inflamm Infect Letter to the Editor Diagnosis of rickettsial retinitis remains presumptive when gold standard tests are not available or not done due to financial constrains. History of tick bite followed by fever with skin rash particularly in winter and spring season may point towards Rickettsiosis. The absence of scarring post resolution of rickettsial retinitis suggests inner retinal involvement in contrast to toxoplasmosis. Bilaterality of the disease, 2–4 weeks of latent period, and multifocal nature of retinitis lesions (cotton wool spot-like lesions) especially around the disc and posterior pole may suggest an immune response to recent systemic infection. The use of only antibiotics or only steroids or both together for treatment of rickettsial retinitis is controversial and warrants randomized controlled trials. Springer Berlin Heidelberg 2016-06-07 /pmc/articles/PMC4896890/ /pubmed/27271975 http://dx.doi.org/10.1186/s12348-016-0086-z Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Letter to the Editor Kawali, Ankush A. Mahendradas, Padmamalini Gupta, Kanav Srinivasan, Priya Avadhani, Kavitha Yadav, Naresh Kumar Shetty, Rohit Author’s reply to ‘Rickettsia retinitis cases in India: a few comments’ |
title | Author’s reply to ‘Rickettsia retinitis cases in India: a few comments’ |
title_full | Author’s reply to ‘Rickettsia retinitis cases in India: a few comments’ |
title_fullStr | Author’s reply to ‘Rickettsia retinitis cases in India: a few comments’ |
title_full_unstemmed | Author’s reply to ‘Rickettsia retinitis cases in India: a few comments’ |
title_short | Author’s reply to ‘Rickettsia retinitis cases in India: a few comments’ |
title_sort | author’s reply to ‘rickettsia retinitis cases in india: a few comments’ |
topic | Letter to the Editor |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4896890/ https://www.ncbi.nlm.nih.gov/pubmed/27271975 http://dx.doi.org/10.1186/s12348-016-0086-z |
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