A rare case of infectious multifocal serpiginoid choroiditis.
A RARE CASE OF INFECTIOUS MULTIFOCAL SERPIGINOID CHOROIDITIS.
Acta Clin Croat. 2016 12;55(4):667-70
Authors: Mitrašević M, Jovanović S, Radotić F, Pešić S, Jovanović Z
Abstract
Multifocal serpiginoid choroiditis is an infectious variety of serpiginous choroiditis.
The disease is characterized by infectious etiology and overlapping clinical features in an intermediary
form of acute posterior multifocal placoid pigment epitheliopathy and serpiginous choroiditis.
In a 33-year-old patient, bilateral multiple placoid partially confluent chorioretinal lesions were diagnosed
after a febrile flu-like episode. On the right eye, there was a progressive decrease in visual acuity.
Later, the lesions had a prolonged progressive devastating clinical course and widespread distribution
of placoid lesions, and took the form of serpiginoid choroiditis. We conducted extensive laboratory
work-up and ancillary investigation for granulomatous diseases such as tuberculosis and sarcoidosis,
and the results were not consistent with these entities. Systemic medical work-up revealed a history of
exposure to the human immunodeficiency virus, herpes simplex virus 1, varicella zoster virus and cytomegalovirus.
The titer of Mycoplasma pneumoniae IgM antibodies was positive. After serological
analysis positive for Mycoplasma pneumoniae, systemic antibiotic therapy and anti-inflammatory doses
of corticosteroids were administered. Improvement of visual acuity ...
Source: Acta Clinica Croatica - Category: General Medicine Tags: Acta Clin Croat Source Type: research
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