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RESEARCH PRODUCT
Q fever: a new ocular manifestation
Salvador Garcia-delpechPatricia UdaondoDavid SalomManuel Díaz-llopisMaria Garcia-poussubject
Doxycyclineexudative retinal detachmentmedicine.medical_specialtybiologyVkh syndromebusiness.industryPanuveitispanuveitisRetinal detachmentQ feverCase ReportExudative retinal detachmentRE1-994Coxiella burnetiibiology.organism_classificationmedicine.diseaseVogt-Koyanagi-Harada syndromeComplete resolutioneye diseasesOphthalmologyOphthalmologymedicinebusinessQ fevermedicine.drugdescription
P Udaondo1,3, S Garcia-Delpech1,2, D Salom1,2, M Garcia-Pous1, M Diaz-Llopis1,21Department of Ophthalmology, Nuevo Hospital Universitario y Politecnico La Fe, Valencia, Spain; 2Faculty of Medicine, Universitat de València, Valencia, Spain; 3Universidad Cardenal Herrera CEU, Valencia, SpainAbstract: Q Fever is a zoonosis caused by Coxiella burnetii. Ocular manifestations are rare in this infection. We describe the case of a man complaining of an intense retro-orbital headache, fever, arthralgia, and bilateral loss of vision, who showed an anterior uveitis accompanied by exudative bilateral inferior retinal detachment and optic disk edema. At the beginning, a Vogt–Koyanagi–Harada (VKH) syndrome was suspected, but the patient was diagnosed with Q fever and treatment with doxycycline was initiated, with complete resolution after 2 weeks. We wondered if Q fever could unleash VKH syndrome or simulate a VKH syndrome by a similar immunological process.Keywords: Q fever, Vogt–Koyanagi–Harada syndrome, panuveitis, exudative retinal detachment
year | journal | country | edition | language |
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2011-09-01 | Clinical Ophthalmology |