Neuroretinitis as a manifestation of Lyme disease in India
By Linda on Apr 29, 2010 in Infections | comments(2)
Full article: http://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=20370334&retmode=ref&cmd=prlinks
Excerpt:
PURPOSE: To report a rare case of Lyme disease with
neuroretinitis from South India.
MATERIALS AND METHODS: Retrospective case report. A 45-year-old
lady who hails from the Nagarhole forest in South India presented
with a history of tick bite followed by diminution of vision in
the left eye. Fundus evaluation of the left eye showed
neuroretinitis. Mantoux test, Treponema pallidum hemagglutination
test, serum angiotensin converting enzyme, and ELISA for
toxoplasmosis and rickettsial infections were negative. ELISA for
Lyme disease was positive for IgM antibodies. This was confirmed
by Western blot test.RESULTS: Ocular inflammation resolved with a course of doxycyline
and oral steroids. The species of the tick was also identified.
CONCLUSION: This case
highlights the need to consider Lyme disease, though rare in
India, in the differential diagnosis of neuroretinitis especially
if the patient hails from a forest area.
