Manifestación clínica ocular inusual de la leptospirosis
- V.M. Asensio-Sánchez
- B. Haro-Álvarez
- J. Herreras
- A. Martín-Prieto
ISSN: 0365-6691
Ano de publicación: 2018
Volume: 93
Número: 7
Páxinas: 342-346
Tipo: Artigo
Outras publicacións en: Archivos de la Sociedad Española de Oftalmologia
Obxectivos de Desenvolvemento Sustentable
Resumo
Clinical case An uncommon case is presented of a 15 year-old girl with bilateral, multiple serous detachments of retina and retinal pigment epithelium. With clinical and laboratory (IgG 1/160 and IgM 1/160, using an indirect immunofluorescence assay) diagnoses of leptospirosis, a complete ophthalmic examination, fluorescein angiography, autofluorescence and optical coherence tomography were performed, and the patient was followed for two years. Discussion Bilateral, multiple serous detachments of retina and retinal pigment epithelium can be a complication of systemic leptospirosis, a zoonotic disease caused by Leptospira. Without a detailed medical history it may be underdiagnosed, mainly because it can mimic other more common diseases. It may be prudent to ask patients regarding contact with pets.