Article Text

Ocular manifestations of rickettsia in children: common but frequently overlooked
  1. Sara Homem de Melo Marques1,2,
  2. Marta Gomes Guerra2,
  3. Catarina Almeida2,
  4. 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}


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.

  • paediatrics
  • ophthalmology
  • retina
  • infectious diseases

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  • 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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