[Eye involvement of borrelia aetiology].
We present a case of eye involvement -- intermediate uveitis -- during tick-borne borreliosis in a 10-year-old boy. Ophthalmologic examination revealed impaired vision, apparent thick floating whitish opacity in the vitreous humour of the left eye and fine fibres in the vitreous humour of the right eye. Sonographic examination confirmed hyperechogenic opacity in the vitreous humour. An autoimmune process was suspected but not confirmed. Serological examination showed IgG antibodies against three pathogenic borreliae and borderline values of IgM antibodies against Borrelia garinii were found by immunoblot. The boy was treated with intravenous ceftriaxone for 21 days. The subsequent sonographic examination showed only minute sporadic echogenicity. Biomicroscopically, only residual opacity in the vitreous humour was found. Isolated eye involvement of borrelia aetiology is rare. The discussion provides a review of similar cases of uveitis including diagnosis of the eye form as published in literature.
Krbková
Lenka
L
Medical Faculty, Masaryk University, Clinic of Chilren's Infectious Diseases, Brno, Czech Republic. lkrbkova@fnbrno.cz
Vodicková
Kristýna
K
Pellarová
Hana
H
Bednárová
Jana
J
Cápová
Iva
I
D001899:Borrelia Infections / Q000175:diagnosis* / Q000188:drug therapy; D015748:Borrelia burgdorferi Group; D002648:Child; D006801:Humans; D008297:Male; D015867:Uveitis, Intermediate / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology