A Case of Bilateral Optic Neuritis in Tsutsugamushi Infection.

Lee, Jung Jae; Park, Jae Yeong; Seo, Won Moon

doi:2012.53.6.901

J Korean Ophthalmol Soc > Volume 53(6); 2012 > Article

Case Report

Journal of the Korean Ophthalmological Society 2012;53(6):901-905.
DOI: https://doi.org/10.3341/jkos.2012.53.6.901 Published online June 15, 2012.

A Case of Bilateral Optic Neuritis in Tsutsugamushi Infection.

Jung Jae Lee, Jae Yeong Park, Won Moon Seo

Department of Ophthalmology, DongKang Medical Center, Ulsan, Korea. mdseowm@msn.com

쯔쯔가무시 감염에서 발생한 양안성 시신경염 1예

이정재⋅박재영⋅서원문

Department of Ophthalmology, DongKang Medical Center, Ulsan, Korea

Abstract

PURPOSE
To report a case of bilateral optic neuritis in a child after tsutsugamushi infection. CASE SUMMARY: An eight-year-old boy diagnosed with tsutsugamushi infection was referred to the ophthalmology clinic at our institution. A typical eschar was detected on his right clavicle. The patient complained of severely decreased visual acuity. The initial best corrected visual acuity (BCVA) in his right eye was 0.08, and in his left eye was negative light perception. Fundus exam showed bilateral optic disc swelling and hyperemia. Optic neuritis was diagnosed after tsutsugamushi infection, and high-dose intravenous steroid therapy was initiated according to the ONTT study protocol. Twelve months after treatment, the right eye BCVA improved to 1.0, but the left eye BCVA was only 0.06. CONCLUSIONS: The authors of the present study experienced a case of bilateral optic neuritis after tsutsugamushi infection with a relatively positive response to the steroid therapy.

Key Words: Optic neuritis;Tsutsugamushi infection