Bilateral macular hemorrhage as a complication of drug-induced anemia: a case report

Autor: Belfort Rubens N, Fernandes Bruno F, Romano André, Nose Ricardo, Cools-Lartigue Jonathan, Navajas Eduardo V, Vieira Garles MM, Lopes Renato, Belfort Rubens
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: Journal of Medical Case Reports, Vol 3, Iss 1, p 16 (2009)
Druh dokumentu: article
ISSN: 1752-1947
DOI: 10.1186/1752-1947-3-16
Popis: Abstract Introduction Bilateral macular hemorrhage is a rare ocular finding and to the best of our knowledge, this is the first report of such hemorrhages as a presentation of drug-induced anemia. Case presentation We describe the case of a 14-year-old Caucasian boy who presented with a toxoplasmic retinochoroiditis and was treated with sulfadiazine and pyrimethamine. Three months later, he presented with a bilateral macular hemorrhage as a complication of a toxic induced anemia. Conclusion Our patient presented with toxic anemia secondary to the treatment of a very common disease, ocular toxoplasmosis. Prophylactic use of folinic acid could prevent such complications but in many cases, it is not prescribed owing to its cost or is mistakenly substituted with folic acid, which does not present as a valid substitute.
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