Multifocal choroiditis with evidence of Lyme disease.
A 32-year-old man had multifocal choroiditis without vitreous involvement. The diagnosis of Lyme disease was suggested by serial enzyme-linked immunosorbent assays of his serum and a cerebrospinal fluid specimen. The ocular findings resembled those seen in patients with acute posterior multifocal placoid pigment epitheliopathy (APMPPE). The active lesions resolved after administration of a two-week course of intravenous ceftriaxone. This case suggests that some cases of APMPPE actually may be Lyme disease.
Bodine
S R
SR
Department of Ophthalmology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
Marino
J
J
Camisa
T J
TJ
Salvate
A J
AJ
D000328:Adult; D002443:Ceftriaxone / Q000008:administration & dosage / Q000627:therapeutic use; D002833:Choroiditis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004797:Enzyme-Linked Immunosorbent Assay; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007275:Injections, Intravenous; D008193:Lyme Disease / Q000175:diagnosis / Q000188:drug therapy; D008297:Male
D002443:Ceftriaxone