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

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}
  • Accepted 30 March 2018
  • Published 18 May 2018


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.


  • 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.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article