중간 포도막염과 망막박리를 동반한 쯔쯔가무시병 1예

• 영문명: A Case of Tsutsugamushi Disease Associated With Intermediate Uveitis and Retinal Detachment
• 발행기관: 대한안과학회
• 저자명: 이창규 박정민,Chang-Kyu Lee, MD, Jung Min Park, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number5, 784~789쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.05.15

영문 초록

Purpose: The authors report a Tsutsugamushi patient who has intermediate uveitis and rhegmatogenous retinal detachment without a typical skin eschar, which may be rare. Case summary: The authors present a case of a 63-year-old man who complained of fever, chills, and headache, with lymphadenopathy, hepatomegaly, reticulonodular pneumonia, and blurred vision in the right eye after descending a mountain in autumn. Serological findings showed elevated titers for strains of Rickettsia tsutsugamushi, even though no eschar could be found on his body. In addition, the ophthalmologic examination disclosed vitreous opacity as uveitis in his right eye; thus, the patient was treated for Tsutsugamushi disease. However, retinal detachment was found in his right eye even after treatment. Thus, a vitrectomy and intravitreal silicone oil injection was performed, and the patient’s best corrected visual acuity improved from hand motion to 0.04 on the 7th day after the operation. J Korean Ophthalmol Soc 2010;51(5):784-789

키워드

Intermediate uveitis, Retinal detachment, Tsutsugamushi disease