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Published on: September 11, 2013
A case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever
Nidhi Relhan1, Avinash Pathengay2, Thomas Albini3
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami 33136, FL, USA ; Srimati Kannuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad 500034, Telangana, India.
Background:
Ocular and extraocular immune-mediated phenomena are known to occur following febrile illness. Vasculitis, retinitis and neurosensory detachment are not well-recognized sequelae of typhoid fever.
Findings:
We report a case of vasculitis, retinitis and macular neurosensory detachment presenting post typhoid fever. A 27-year-old female presented with decreased vision in right eye with history of typhoid fever (treated adequately 6 weeks prior). Her best corrected visual acuity in right eye was 20/125, N36. Fundus showed a patch of vasculitis and retinitis superior to the disc associated with macular neurosensory detachment and disc pallor. With oral steroids, the inflammation resolved and visual acuity improved to 20/20 at 6 weeks.
Conclusions:
Immune-mediated vasculitis and retinitis following typhoid fever may respond well to systemic steroids.
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