[Clinical features and etiologies of acute neuroretinitis in southern Tunisia].
Profil clinique et étiologique des neurorétinites aiguës dans le sud tunisien.
Acute Disease
Adult
Cat-Scratch Disease
/ complications
Diagnosis, Differential
Exudates and Transudates
/ diagnostic imaging
Eye Infections, Bacterial
/ complications
Female
Humans
Male
Middle Aged
Papilledema
/ diagnosis
Retinal Detachment
/ complications
Retinitis
/ diagnosis
Retrospective Studies
Rickettsia Infections
/ complications
Tuberculosis, Ocular
/ complications
Tunisia
Vision Disorders
/ diagnosis
Exsudat maculaire
Macular star
Optic nerve edema
Optical coherence tomography
Retinitis
Rickettsiose
Rickettsiosis
Rétinite.
Tomographie en cohérence optique
Œdème papillaire
Journal
Journal francais d'ophtalmologie
ISSN: 1773-0597
Titre abrégé: J Fr Ophtalmol
Pays: France
ID NLM: 7804128
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
08
02
2019
revised:
03
05
2019
accepted:
07
05
2019
pubmed:
12
6
2019
medline:
14
2
2020
entrez:
12
6
2019
Statut:
ppublish
Résumé
The diagnosis of neuroretinitis is clinical, with optic nerve involvement and a macular star. The most common etiology is cat scratch disease. Study of 7 patients (7 eyes) with neuroretinitis. A complete ophthalmic examination, fluorescein angiography and optical coherence tomography were performed for all patients. A focused etiological work-up was conducted. The mean age of the patients was 41.6 years [27-51 years]. Decreased visual acuity was the most common reason for consultation. The neuroretinitis was unilateral in all cases. Subclinical serous retinal detachment was noted in 5 patients. The common etiologies were rickettsiosis (4 cases) and tuberculosis (1 case). Leber's idiopathic stellate neuroretinitis was concluded by the negativity of the etiological investigation. Doxycycline was the treatment of choice for rickettsiosis. Rickettsiosis appears to be more common than cat scratch disease as an etiology of neuroretinitis in the present study in southern Tunisia. Moreover, the clinical association of a serous retinal detachment, rarely reported in the literature, seems to be more frequent in our series.
Identifiants
pubmed: 31182251
pii: S0181-5512(19)30269-4
doi: 10.1016/j.jfo.2019.05.003
pii:
doi:
Types de publication
Journal Article
Langues
fre
Sous-ensembles de citation
IM
Pagination
839-843Informations de copyright
Copyright © 2019 Elsevier Masson SAS. All rights reserved.