Borrelia Hermsii Causing Relapsing Fever and Uveitis - 18/08/11
, James T. Rosenbaum, MD
Inquiries to Lyndell L. Lim, MBBS, FRANZCO, Casey Eye Institute, Oregon Health and Science University, 3375 SW Terwilliger Blvd, Portland, OR 97239Résumé |
Purpose |
To describe a case of uveitis that is associated with Borrelia hermsii relapsing fever.
Design |
Interventional case report.
Methods |
A 12-year-old boy with two weeks of relapsing fevers 10 days after camping in remote eastern Oregon was examined. Borrelia hermsii immunoglobulin M and G levels were markedly elevated. Intravenous ceftriaxone, followed by four weeks of oral cephuroxime was administered, but the patient developed unilateral floaters and blurred vision in association with anterior and intermediate uveitis.
Results |
Doxycycline was administered for presumed residual infection. Four weeks later, the visual acuity had improved. The anterior chamber was quiet, and topical corticosteroid was tapered successfully.
Conclusion |
Although rare, Borrelia hermsii should be included in the list of spirochetal diseases that are associated with uveitis.
Le texte complet de cet article est disponible en PDF.| Supported by unrestricted funds from Research to Prevent Blindness, New York, New York, and the Stan and Madelle Rosenfeld Family Trust, Portland, Oregon. J.T.R. is also a Senior Scholar supported by Research to Prevent Blindness. |
Vol 142 - N° 2
P. 348-349 - août 2006 Retour au numéro
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