Issa R, DeSouza SAM. Recurrent bilateral chorioretinitis with positive Lyme serology: a case report.
J Med Case Rep 2021;
15:253. [PMID:
33941242 PMCID:
PMC8094503 DOI:
10.1186/s13256-021-02804-7]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Accepted: 03/18/2021] [Indexed: 12/02/2022] Open
Abstract
Background
It has been disputed whether Lyme is a true causative agent in posterior uveitis or an incidental finding.
Case presentation
This report presents a case of a 33-year-old Caucasian female with a remote history of Lyme disease who presented with blurry vision in the right eye. Exam and imaging revealed a right active chorioretinitis and positive Lyme serology. The patient was systemically treated with prednisone and antibiotics. Symptoms initially improved, but she later developed a localized choriocapillaritis in the left eye. Steroids and antibiotics were restarted many times with fluctuating course of the disease. The patient was then started on chronic steroid-sparing immunosuppression, which has controlled the condition without recurrence.
Conclusions
The current report presents a unique case of recurrent bilateral chorioretinitis with positive Lyme serology and raises the question of the existence of true Lyme-associated uveitis.
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