Abstract
BackgroundOcular 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.FindingsWe 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.ConclusionsImmune-mediated vasculitis and retinitis following typhoid fever may respond well to systemic steroids.
Highlights
Ocular and extraocular immune-mediated phenomena are known to occur following febrile illness
Our group published [2,3] late-onset endogenous endophthalmitis post typhoid fever resolution. In this manuscript we report a patient who presented with retinitis and had a history of typhoid fever, beginning 6 weeks prior to presentation
Case report A 26-year-old Indian female presented in urban southern India, at LV Prasad Eye Institute, Hyderabad, with sudden, painless decreased vision in the right eye for 20 days associated with floaters
Summary
Ocular and extraocular immune-mediated phenomena are known to occur following febrile illness. Our group published [2,3] late-onset endogenous endophthalmitis post typhoid fever resolution. In this manuscript we report a patient who presented with retinitis and had a history of typhoid fever, beginning 6 weeks prior to presentation.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have