Endogenous endophthalmitis caused by Rickettsia conorii

Mendívil, Antonio; Cuartero, Victoria

doi:10.1034/j.1600-0420.1998.760126.x

Cited by 18 publications

(3 citation statements)

References 9 publications

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“…Kahloun et al have also described a patient who showed spontaneous improvement (without antibiotics) while serological test was pending [ 3 ]. Though rickettsial endogenous endophthalmitis has been reported [ 11 ], bilaterality in 9 out of 10 cases, an interval of 2 to 4 weeks between the systemic and ocular presentation and better response to 'steroid-only' treatment in 3 patients in our study points towards an immune-driven process. No patient was found to have scrub typhus in our series based on WFT as well as by PCR of ocular fluid in three cases.…”

Section: Resultsmentioning

confidence: 45%

Rickettsial retinitis—an Indian perspective

Kawali

Mahendradas

Srinivasan

et al. 2015

J Ophthal Inflamm Infect

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BackgroundThough rickettsiosis is common in India, there is paucity of rickettsial retinitis (RR) reports from India. Moreover, rickettsial sub-types and their association with retinitis have not been studied. We are reporting a case series of presumed RR with their course of the disease, visual outcome, and association with rickettsial sub-type based on Weil-Felix test.FindingsThis is a retrospective study of 19 eyes of 10 patients presented to a single institution. Cases diagnosed with presumed RR were identified from our database from March 2006 to October 2014 and studied retrospectively for patient’s demography, clinical presentation, and treatment. Patients with history of fever, retinitis, and a positive Weil-Felix test and a negative chikungunya and dengue serology were diagnosed as presumed rickettsial uveitis. One patient was diagnosed to have epidemic typhus, and four were diagnosed to have Indian tick typhus. Nine patients had bilateral presentation. One patient had history of dog tick bite, and four patients had skin rashes. All the patients presented between 2 and 4 weeks after a fever.ConclusionsRetinitis on posterior pole with recent history of fever with or without skin rash and a positive Weil-Felix test may suggest a rickettsial etiology. Its ocular manifestation could be an immune response to recent systemic rickettsial infection. Indian tick typhus and epidemic typhus could be the common sub-types seen in our population. Although it has aggressive presentation, it has a good visual prognosis.

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Section: Resultsmentioning

confidence: 45%

Rickettsial retinitis—an Indian perspective

Kawali

Mahendradas

Srinivasan

et al. 2015

J Ophthal Inflamm Infect

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“…[ 30 ] Other ocular manifestations of rickettsial disease include keratitis, nongranulomatous anterior uveitis, iris nodule, hypofluorescent choroidal lesions on fluorescein or indocyanine green angiography, endogenous endophthalmitis, and third or sixth cranial nerve palsies. [ 4 25 31 32 33 34 ]…”

Section: O Ther O Cular M ...mentioning

confidence: 99%

Rickettsial disease: An underestimated cause of posterior uveitis

et al. 2022

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“…The existing reports describe ocular manifestation as conjunctivitis, keratitis, anterior uveitis, panuveitis, retinitis, retinal vascular occlusions, retinal vasculitis, intraretinal hemorrhages, macular edema, macular star, optic disc edema, optic neuritis, and multiple evanescent white dot syndrome-like lesions. (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) Studies, evaluating the ocular manifestation in rickettsial disease from our region are few and are predominantly in adults. (15)(16)(17)(18)(19)(20) This study was undertaken with an aim to find the ocular manifestations children.…”

Section: Introductionmentioning

confidence: 99%

Ocular manifestations in Rickettsial Disease in children admitted in tertiary care center in Northern India

Gupta¹

2019

jmscr

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Introduction: Rickettsial disease is endemic in many parts in India. Ocular manifestation of the disease in pediatric patients is not known Methodology: This observational study was conducted in children less than eighteen years diagnosed to have Probable rickettsial disease based upon Indian Academy of Pediatrics criteria. These children underwent visual acuity by Snellen's chart and refraction, detailed anterior chamber examination by torch and slit lamp examination, dilated biomicroscopic fundus examination. Fundus fluorescein angiography was done in cases having abnormalities on biomicrocopic fundus examination. Results: A total of 36 children were diagnosed to have probable rickettsial disease. Best corrected visual acuity (BCVA) ranged from 6/6 to 6/60. Posterior Segment changes were seen in 24 (36%) patients. Bilateral changes were seen in 18 children and unilateral in six (total of 42 eyes). Ocular examination showed 0.5-1+ AC reaction in 18/42 eyes, trace vitritis in 19/42 eyes, yellowish white lesions ranging from 1/2 DD to 3 DD along the arcades in all patients, suggestive of retinitis. Five eyes had less than 3 lesion and 14 eyes had more than three. Hemorrhage along with retinitis was seen in 35 eyes. Disc edema was seen in 15 eyes. Retinal vascular sheathing was seen in twelve eyes. Macular edema with star exudates was seen in 33 eyes. Conclusion: Ocular manifestation are common in rickettsial disease. Detailed ocular examination should be done in all cases with Rickettsial disease.

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Endogenous endophthalmitis caused by Rickettsia conorii

Cited by 18 publications

References 9 publications

Rickettsial retinitis—an Indian perspective

Rickettsial retinitis—an Indian perspective

Rickettsial disease: An underestimated cause of posterior uveitis

Ocular manifestations in Rickettsial Disease in children admitted in tertiary care center in Northern India

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