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BMJ Case Reports 2018; doi:10.1136/bcr-2017-222809
  • Reminder of important clinical lesson
  • CASE REPORT

Ocular manifestations of rickettsia in children: common but frequently overlooked

  1. Miguel Ribeiro2
  1. 1Ophthalmology Department, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
  2. 2Ophthalmology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
  1. Correspondence to Dr Sara Homem de Melo Marques, saramelomarques{at}gmail.com
  • Accepted 30 March 2018
  • Published 18 May 2018

Summary

We review two cases of ocular manifestations of Rickettsia conorii infection in children. A girl who presented unilateral visual loss with focal retinitis and macular oedema and a boy with unilateral central scotoma and bilateral anterior uveitis. Progressive functional and anatomic recovery was observed after oral antibiotics and steroids were initiated.

Footnotes

  • Contributors All the authors listed have been actively involved in the drafting, writing and revising the manuscript, as well as observing and following-up the patients. SHdMM and MGG were responsible for writing the manuscript. MGG and CA acquired and systematised patient data and organised all iconography. MR designed, conducted and revised the study and patients data.

  • 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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