Unilateral Blindness Caused by Infection with the Lyme Disease Spirochete, Borrelia burgdorferi
1985; American College of Physicians; Volume: 103; Issue: 3 Linguagem: Inglês
10.7326/0003-4819-103-3-382
ISSN1539-3704
Autores Tópico(s)Bartonella species infections research
ResumoBrief Reports1 September 1985Unilateral Blindness Caused by Infection with the Lyme Disease Spirochete, Borrelia burgdorferiALLEN C. STEERE, M.D., PAUL H. DURAY, M.D., DANNY J. H. KAUFFMANN, M.D., GARY P. WORMSER, M.D.ALLEN C. STEERE, M.D., PAUL H. DURAY, M.D., DANNY J. H. KAUFFMANN, M.D., GARY P. WORMSER, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-103-3-382 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLyme disease, a tick-borne spirochetal infection (1), often begins with a characteristic skin lesion, erythema chronicum migrans, which may be followed by neurologic, cardiac, or joint abnormalities (2, 3). Conjunctivitis may occur early in the illness (3), but other ophthalmologic manifestations have not been reported. We report the case of a patient who, 4 weeks after the onset of erythema chronicum migrans, developed unilateral iritis followed by panophthalmitis. Spirochetes were found in specimens of vitreous debris obtained at surgery.On 15 July 1982, a 45-year-old woman from Westchester County, New York, developed severe headache, light-headedness, chills, fever, nausea, and vomiting...References1. STEEREGRODZICKIKORNBLATT ARA. The spirochetal etiology of Lyme disease. N Engl J Med. 1983;308:733-40. CrossrefMedlineGoogle Scholar2. STEEREMALAWISTAHARDINRUDDYASKENASEANDIMAN ASJSPW. Erythema chronicum migrans and Lyme arthritis: the enlarging clinical spectrum. Ann Intern Med. 1977;86:685-98. LinkGoogle Scholar3. STEEREBARTENHAGENCRAFT ANJ. The early clinical manifestations of Lyme disease. Ann Intern Med. 1983;99:76-82. LinkGoogle Scholar4. VAN ORDENGREER AP. Modification of the Dieterle spirochete stain. J Histotech. 1977;1:51-3. CrossrefGoogle Scholar5. STEEREHUTCHINSONRAHN AGD. Treatment of the early manifestations of Lyme disease. Ann Intern Med. 1983;99:22-6. LinkGoogle Scholar6. JOHNSONMAREKKODNER RNC. Infection of Syrian hamsters with Lyme disease spirochetes. J Clin Microbiol. 1984;20:1099-101. CrossrefMedlineGoogle Scholar7. ALEXANDERBAERFAIR AAJ. Leptospiral uveitis: report of a bacteriologically confirmed case. AMA Arch Ophthalmol. 1952;48:292. CrossrefMedlineGoogle Scholar8. MOORE J. Syphilitic iritis. Am J Ophthalmol. 1931;14:110-22. CrossrefGoogle Scholar9. ROSSSUTTON WH. Acquired syphilitic uveitis. Arch Ophthalmol. 1980;98:496-8. CrossrefMedlineGoogle Scholar10. SOUTHERNSANFORD PJ. Relapsing fever: a clinical and microbiological review. Medicine. 1969;48:129-49. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: ALLEN C. STEERE, M.D.; PAUL H. DURAY, M.D.; DANNY J. H. KAUFFMANN, M.D.; GARY P. 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MERTZ, M.D. 1 September 1985Volume 103, Issue 3Page: 382-384KeywordsBorrelia burgdorferiErythema chronicumInfectious diseasesLyme diseaseMedical servicesNauseaSkin infectionsSpirochetesSurgeryVomiting ePublished: 1 December 2008 Issue Published: 1 September 1985 PDF downloadLoading ...
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