RARE OPHTHALMIC MANIFESTATIONS OF RICKETTSIAL INFECTIONS.
- Dept. of General Medicine, St. John?s Medical College, Bangalore-56034.
- Dept. of Ophthalmology, St. John?s Medical College, Bangalore-560034.
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Background: Rickettsial infections are re-emerging health problems in the country. There is a paucity of data on the ophthalmic manifestations of rickettsial disease in India. Majority of the ocular manifestations reported involve the posterior segment with very few documented cases of anterior segment manifestations. We report cases of febrile illness associated with acute anterior uveitis which were diagnosed as rickettsial infection. Findings: Four patients presented with febrile illness with acute anterior uveitis. Three out of the four patients developed eye signs between day eleven to day thirteen of onset of fever. Three patients had only unilateral uveitis with the fourth case having bilateral. Patients were treated with doxycycline along with steroid and cycloplegic eye drops and improved symptomatically. No recurrence of anterior uveitis was noted on follow up. Conclusion: The possibility of rickettsial fever must be considered in the differential diagnosis of acute febrile illness with acute anterior uveitis as early initiation of treatment can lead to better outcomes.
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[Seena Sankar, Shruthi Kulkarni, Manjoo CS and Nitin Yashas Murthy. (2017); RARE OPHTHALMIC MANIFESTATIONS OF RICKETTSIAL INFECTIONS. Int. J. of Adv. Res. 5 (Aug). 1027-1031] (ISSN 2320-5407). www.journalijar.com
Senior Resident, Dept. of General Medicine, St.John's Medical College, bangalore-560034