Τίτλος:
Spirochetal uveitis: Spectrum of clinical manifestations, diagnostic and
therapeutic approach, final outcome and epidemiological data
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Purpose Analysis of cases with spirochetal uveitis related to
spirochetes in a tertiary referral academic center.
Methods Retrospective study of patients diagnosed with uveitis
attributed to Treponema pallidum, Leptospira spp. and Borrelia
burgdorferi from June 1991 until December 2019.
Results A total of 57 cases of spirochetal uveitis (22 patients with T.
pallidum, 26 with Leptospira spp., and 9 with B. burgdorferi) that
consisted 1% of the overall number of uveitics were recorded. All these
cases presented with a wide spectrum of clinical presentations (anterior
uveitis, posterior uveitis, panuveitis, vasculitis, papillitis, and in
some rare cases concomitant posterior scleritis). The treatment included
mainly penicillin or doxycycline, while corticosteroids were
administered systematically in some cases with Borrelia or Leptospira
infection. The final visual outcome was favorable (>6/10 in Snellen
visual acuity) in approximately 76% of our patients.
Conclusion Despite being rare, spirochetal uveitis can be detrimental
for the vision and must always be included in the differential
diagnosis.
Συγγραφείς:
Kalogeropoulos, Dimitrios
Asproudis, Ioannis
Stefaniotou, Maria
and Moschos, Marilita
Gartzonika, Constantina
Bassukas, Ioannis
and Konitsiotis, Spiros
Milionis, Haralampos
Gaitanis, Georgios
and Malamos, Konstantinos
Kalogeropoulos, Chris
Περιοδικό:
International Ophthalmology
Λέξεις-κλειδιά:
Spirochetes; Syphilis; Leptospira; Borrelia; Infectious uveitis
DOI:
10.1007/s10792-021-01984-x
