A case of uveitis due to Rickettsia conorii infection in Southeastern France
| Autor: | Cecile Caisso, Brigitte Dunais, Dominique Neri, Matteo Vassallo, Jacques Payan |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Rural Population
0301 basic medicine Pathology medicine.medical_specialty Fever 030231 tropical medicine 030106 microbiology Immunofluorescence Microbiology Uveitis 03 medical and health sciences 0302 clinical medicine Cholestasis medicine Animals Humans Doxycycline medicine.diagnostic_test biology business.industry Middle Aged biology.organism_classification medicine.disease Antibodies Bacterial Rash Anti-Bacterial Agents Rickettsia conorii Treatment Outcome Infectious Diseases Insect Science biology.protein Female Parasitology France medicine.symptom Antibody Vasculitis business medicine.drug |
| Zdroj: | Ticks and Tick-borne Diseases. 7:338-341 |
| ISSN: | 1877-959X |
| DOI: | 10.1016/j.ttbdis.2015.12.004 |
| Popis: | We describe a case of skin rash and bilateral uveitis secondary to Rickettsia conorii infection. A 60-year-old female patient, living in the rural hinterland of Cannes, was referred to our hospital in mid-August 2012 for skin rash, fever, and arthromyalgia. Blood tests showed increased inflammatory markers, hepatic cytolysis and anicteric cholestasis. Ophthalmic examination revealed bilateral papillitis and focal chorio-retinitis. Fluoroscopic angiography demonstrated early hypofluorescence, with a few arteriolar occlusions, and subsequent hyperfluorescence and focal vasculitis. R. conorii antibodies were identified by immunofluorescence antibody test. Investigation of other infective agents and the immunological panel were negative. A 2-week course of doxycycline 200 mg/day was prescribed, and fever rapidly subsided, the skin rash resolved and vision improved. Ophthalmic examination a month and a half later showed almost all retinal lesions had disappeared and inflammation markers had returned to normal. |
| Databáze: | OpenAIRE |
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