1988
DOI: 10.1093/infdis/158.5.1139
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Use of Steroids and Heparin to Treat Retinal Arterial Occlusion in Mediterranean Spotted Fever

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Cited by 15 publications
(6 citation statements)
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“…Our patient benefited of some specific treatment for the R. conorii infection, but other approaches have been described. The role of oral steroids in the course of posterior segment involvement, as well as the effect of anticoagulants on the course of retinal occlusive complications remain unclear [11,12]. We combined ciprofloxacin to the previous therapy with doxycycline alone, because a rapid defervescence had not occurred as already described in literature and as previously observed in our clinical practice (unpublished data).…”
Section: Discussionmentioning
confidence: 99%
“…Our patient benefited of some specific treatment for the R. conorii infection, but other approaches have been described. The role of oral steroids in the course of posterior segment involvement, as well as the effect of anticoagulants on the course of retinal occlusive complications remain unclear [11,12]. We combined ciprofloxacin to the previous therapy with doxycycline alone, because a rapid defervescence had not occurred as already described in literature and as previously observed in our clinical practice (unpublished data).…”
Section: Discussionmentioning
confidence: 99%
“…Fluoresein angiography (FA) shows early hypofluoresence and late staining of large retinal lesions and slight hypofluorescence or isofluorescence of small retinal lesions (Figs. 1,2,5,35 Extensive capillary nonperfusion leading to retinal neovascularization and vitreous hemorrhage has been reported in a patient with serologically proven scrub typhus. Serous retinal detachment, accurately detected by optical coherence tomography (OCT), frequently accompanies large foci of rickettsial retinitis (Fig.…”
Section: Ocular Diseasementioning
confidence: 98%
“…33 Doxycycline (100 mg every 12 h for 7 to 10 d) is the drug of choice for the treatment of rickettsial diseases. 35 ' West Nile Virus Infection Other tetracyclines (25 to 50 mg/Kg/d), chloramphenicol (50 to 75 mg/Kg/d) in 4 divided doses, and fluoroquinolones are also effective.…”
Section: Managementmentioning
confidence: 99%
“…They include focal or diffuse vascular sheathing, vascular leakage, intraretinal, white-centered, or subretinal hemorrhages, and retinal vascular occlusions associated with transient or permanent visual loss, including branch and central artery occlusion, and branch retinal vein occlusion or subocclusion [3,4,[14][15][16][17].…”
Section: Retinal Vascular Involvementmentioning
confidence: 99%