Sen Saswati, Nayak Bhagabat, Parija Sucheta
Department of Ophthalmology, AIIMS, Bhubaneswar, Odisha, India.
Oman J Ophthalmol. 2022 Mar 2;15(1):99-101. doi: 10.4103/ojo.OJO_262_2019. eCollection 2022 Jan-Apr.
A 15-year-old female patient presented with complaints of headache, blurring of vision, and redness of both eyes for 15 days and fever for 20 days. Her best-corrected visual acuity (BCVA) was 20/40 in both eyes. Anterior segment examination was normal except for subconjunctival haemorrhage in both eyes. Examination of the posterior segment showed disc oedema in both eyes. Her blood investigations revealed platelet count to be 1.5 lakhs per cubic mm, and leucocyte count to be10,700 per cubic mm. CSF culture showed seven cells per microlitre,76% lymphocytes and CSF samples negative for gram stain, acid-fast bacilli, and culture. Further investigation for IgM titre for scrub typhus was positive. She was treated with oral doxycycline. On follow up after three weeks, both the subconjunctival haemorrhage and bilateral disc oedema resolved with BCVA of 20/20 in both eyes. She was kept on follow up and has not presented with any fresh complaints until six months after the initial presentation."
一名15岁女性患者主诉头痛、视力模糊和双眼发红15天，发热20天。她双眼的最佳矫正视力（BCVA）均为20/40。眼前节检查正常，仅双眼结膜下出血。后节检查显示双眼视盘水肿。她的血液检查显示血小板计数为每立方毫米15万，白细胞计数为每立方毫米10700。脑脊液培养显示每微升有7个细胞，76%为淋巴细胞，脑脊液样本革兰氏染色、抗酸杆菌检查及培养均为阴性。恙虫病IgM滴度的进一步检查呈阳性。她接受了口服多西环素治疗。三周后随访时，结膜下出血和双侧视盘水肿均消退，双眼BCVA为20/20。她继续接受随访，自初次就诊后六个月未出现任何新的不适症状。
