Souza GM, Nascimento H, Belfort R. Ocular Leptospirosis: Report of a Challenging Diagnosis.
Ocul Immunol Inflamm 2024:1-4. [PMID:
38922588 DOI:
10.1080/09273948.2024.2367651]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Accepted: 06/08/2024] [Indexed: 06/27/2024]
Abstract
PURPOSE
To report a challenging case of serologically confirmed posterior uveitis due to leptospirosis.
METHODS
Review of medical records.
RESULTS
Thirteen-year-old boy presented focal necrotizing retinochoroiditis after flood exposure. Laboratory work-up confirmed leptospirosis infection and proper antibiotic treatment was done. The patient evolved well. but during late follow-up he developed nummular keratitis.
CONCLUSION
Leptospirosis is a possible etiology of necrotizing posterior uveitis. The use of antimicrobial therapy is controversial but was used in this case, in association with corticosteroids, leading to resolution of retinal inflammation. Despite treatment, the patient developed late corneal opacities, which did not lead to visual impairment.
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