title: SPOTTED FEVER GROUP RICKETTSIA RETINITIS IN A TRAVELER TO AFRICA.
abstract: OBJECTIVE
  To describe a case of rickettsial retinitis in a traveler returning from Africa.
  
  
  METHODS
  Case description.
  
  
  RESULTS
  A 67-year-old woman returning from an excursion in the jungles of Africa presented with a 2-day history of floaters and decreased vision in the right eye. In the two preceding weeks, she had experienced fever, malaise, a black eschar on the right elbow, and a rash on her extremities. Examination revealed panuveitis with a solitary, white retinal lesion adjacent to a retinal vessel in the posterior pole of each eye. Extensive diagnostic workup revealed a positive serology for rickettsial antibodies. Her treatment consisted of a course of oral doxycycline.
  
  
  CONCLUSIONS
  Rickettsial retinitis is an emerging ocular infection in several endemic areas. This case description constitutes the first report of spotted fever group rickettsial retinitis in a traveler to Africa.
authors.affiliation: *Maisonneuve-Rosemont Hospital, Department of Ophthalmology, University of Montreal, Montreal, Quebec, Canada; †Department of Ophthalmology, Rush University Medical Center, Chicago, Illinois; and ‡Illinois Retina Associates, Chicago, Illinois.
authors.forename: Renaud
authors.initials: R
authors.lastname: Duval
authors.forename: Pauline T
authors.initials: PT
authors.lastname: Merrill
mesh_terms: D000349:Africa; D000368:Aged; D015818:Eye Infections, Bacterial / Q000382:microbiology*; D005260:Female; D006801:Humans; D012173:Retinitis / Q000382:microbiology*; D012281:Rickettsia / Q000302:isolation & purification; D012282:Rickettsia Infections / Q000175:diagnosis*; D014195:Travel