Typhoid aftermath: presenting as vasculitis, neuroretinitis and macular neurosensory detachment

Abstract

Systemic immune-mediated reactions are known to occur following typhoid illness. Vasculitis, neuroretinitis and macular neurosensory detachment are amongst the rarely documented aftermath of typhoid fever. A 32-year-old male came with complaints of decreased vision in both eyes with history of typhoid fever (treated adequately 4 weeks prior and declared cured 2 weeks prior to ocular manifestations) who was found to have vasculitis, neuroretinitis and neurosensory detachment at macula. His BCVA was 1/60 in right eye and 6/12 in left eye. The inflammation completely resolved and there was marked improvement in the visual acuity, 6/12 in right eye and 6/6 in left eye after treatment with oral steroids. Immune-mediated vasculitis and neuroretinitis, the ocular aftermath of typhoid fever responded well to oral steroids