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BMJ Case Reports 2018; doi:10.1136/bcr-2017-222504
  • Unusual presentation of more common disease/injury
  • CASE REPORT

Raised intracranial pressure with bilateral anterior uveitis

  1. Stephen Scotcher
  1. Ophthalmology Department, Hereford County Hospital, Hereford, UK
  1. Correspondence to Dr Ivan Yeu Ming Yip, ivanyip{at}gmail.com
  • Accepted 3 June 2018
  • Published 10 June 2018

Summary

We report the rare case of a 5-year-old boy with an infective cause of papilloedema and bilateral uveitis secondary to Mycoplasma pneumoniae. The patient presented with generalised headache and malaise. MRI showed signs of raised intracranial pressure and lumbar puncture opening pressure was 43 cmH2O.

Lumbar puncture did not reveal any infective organisms. Blood tests showed raised inflammatory markers. The patient was started on prednisolone, acetazolamide and intravenous cefotaxime. Following an improvement, the patient was discharged.

However, the patient re-presented 2 weeks later with bilateral anterior uveitis. With the combination of papilloedema and bilateral uveitis, M. pneumoniae infection was suspected. Tests confirmed recent mycoplasma infection. Topical dexamethasone and oral azithromycin were given and symptoms improved.

Vision remained normal throughout. At 1-year follow-up, the patient remains well. The authors would like to highlight a rare infectious cause of papilloedema in young children.

Footnotes

  • Contributors IYMY contributed to designing and writing up the article. SS contributed by making amendments to the article for the final form.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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