Chlamydia Conjunctivitis and Central Retinal Vein Occlusion - 18/08/11
, Thomas J. Liesegang, MD, Brian L. Schwam, MD
Inquiries to Michael W. Stewart, MD, Department of Ophthalmology, 4500 San Pablo Rd., Jacksonville, FL 32082Résumé |
Purpose |
To report a case of coexistent Chlamydia conjunctivitis and central retinal vein occlusion (CRVO) in which both problems improved significantly after oral doxycyline.
Design |
Interventional case report.
Methods |
A healthy 39-year-old man presented with follicular and papillary conjunctivitis, unresponsive to topical antibiotic therapy, and a CRVO. The patient had serum IgG titers of 1:256 to both Chlamydia pneumonia and Chlamydia trachomatous.
Results |
Treatment with oral doxycyline (100 mg orally twice daily for 2 weeks) resulted in complete resolution of the conjunctivitis and rapid improvement of the CRVO.
Conclusions |
Because of its ability to cause chronic vascular endothelial infection and localized inflammation, Chlamydia has been implicated in the development of arterial vascular disease. The positive Chlamydia serology, conjunctivitis, CRVO, and excellent response to doxycycline in this patient suggest that Chlamydia may have contributed to his vascular occlusion. Further studies investigating a possible association between Chlamydia and CRVO may be indicated.
Le texte complet de cet article est disponible en PDF.
Vol 140 - N° 1
P. 161-162 - juillet 2005 Retour au numéro
Article précédent
- A Yellow Ring-shaped Macular Reflection
- Peter J. DeLint, Dirk van Norren
- Screening for Mutations in the IMPDH1 Gene in Japanese Patients With Autosomal Dominant Retinitis Pigmentosa
- Yuko Wada, Asako Tada, Toshitaka Itabashi, Miyuki Kawamura, Hajime Sato, Makoto Tamai
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?