Abstract
<i>Rickettsia sibirica</i>subsp.<i>mongolitimonae</i>Infection and Retinal Vasculitis
Highlights
One day after admission, she reported loss of vision in her right eye
Measurement of visual acuity and results of a slitlamp examination were within normal limits, but a funduscopic examination showed a white retinal macular lesion that corresponded in a fluorescein angiograph to an area of retinal ischemia induced by vascular inflammation and subsequent occlusion (Figure)
We report a case in a pregnant woman with ocular vasculitis
Summary
She reported loss of vision (scotoma) in her right eye. Cyclines and fluoroquinolones were contraindicated because of her pregnancy, and the patient had a history of maculopapular rash after taking josamycin. Culture of a skin biopsy specimen from the eschar showed negative results. DNA was extracted from eschar biopsy specimen and used as template in a PCR with primers complementary to portions of the coding sequences of the rickettsial outer membrane protein A and citrate synthase genes as described [5].
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