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Multifocal choroiditis with evidence of Lyme disease
S R Bodine1, J Marino, T J Camisa
1Department of Ophthalmology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
Abstract:
A 32-year-old man had multifocal choroiditis without vitreous involvement. The diagnosis of Lyme disease was suggested by serial enzyme-linked immunosorbent assays of his serum and a cerebrospinal fluid specimen. The ocular findings resembled those seen in patients with acute posterior multifocal placoid pigment epitheliopathy (APMPPE). The active lesions resolved after administration of a two-week course of intravenous ceftriaxone. This case suggests that some cases of APMPPE actually may be Lyme disease.