Diffuse uveitis and chorioretinal changes after yellow fever vaccination: a re-emerging epidemic
Autor: | Andre C. Romano, Cristina Muccioli, Paula M Marinho, Heloisa Nascimento, Rubens Belfort |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Case Report Uveitis 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Prednisone Cornea medicine Adverse effect Subclinical infection business.industry Incidence (epidemiology) Yellow fever Vaccination medicine.disease Dermatology Ophthalmology medicine.anatomical_structure lcsh:RE1-994 030221 ophthalmology & optometry Puntiform choriocapillaris business 030217 neurology & neurosurgery medicine.drug |
Zdroj: | International Journal of Retina and Vitreous International Journal of Retina and Vitreous, Vol 5, Iss 1, Pp 1-4 (2019) |
ISSN: | 2056-9920 |
Popis: | Background With increasing incidence of yellow fever, mass campaign vaccinations are underway and little ophthalmological alterations have been reported in literature, specially regarding non-combined vaccines. Case presentation We report the case of a patient with no previous ocular or systemic diseases whom received a single dose of yellow fever vaccination and developed haematological, hepatic and renal alterations progressing with a later onset bilateral asymmetric diffuse uveitis. Ophthalmological findings included fine keratic precipitates scattered throughout the cornea and mild vitritis. Multimodal evaluation showed subtle puntiform choriocapillaris changes with decreased vascular density associated. The patient had a good visual outcome after mild oral prednisone dose, but the image findings have not presented remission. Conclusions Clinicians should be aware of clinical and subclinical ocular manifestations such as subtle puntiform choriocapillaris changes as possible vaccine-related adverse events with potential to impact vision. |
Databáze: | OpenAIRE |
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