Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/43992
Type
ArticleCopyright
Open access
Collections
- INI - Artigos de Periódicos [3646]
Metadata
Show full item record
POST-FEVER RETINITIS - NEWER CONCEPTS
Rickettsia
West Nile virus
Zika virus
Dengue
Post-fever retinitis
Systemic steroids
Typhoid
Author
Affilliation
Narayana Nethralaya. Department of Uveitis and Ocular Immunology. Bengaluru, Karnataka, India.
Narayana Nethralaya. Department of Uveitis and Ocular Immunology. Bengaluru, Karnataka, India.
Drishti Eye Institute. Dehradun, Uttarakhand, India.
Narayana Nethralaya. Department of Uveitis and Ocular Immunology. Bengaluru, Karnataka, India.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Drishti Eye Institute. Dehradun, Uttarakhand, India.
University of Monastir. Faculty of Medicine. Fattouma Bourguiba University Hospital. Department of Ophthalmology Monastir, Tunisia.
University of Monastir. Faculty of Medicine. Fattouma Bourguiba University Hospital. Department of Ophthalmology. Monastir, Tunisia.
Narayana Nethralaya. Department of Uveitis and Ocular Immunology. Bengaluru, Karnataka, India.
Drishti Eye Institute. Dehradun, Uttarakhand, India.
Narayana Nethralaya. Department of Uveitis and Ocular Immunology. Bengaluru, Karnataka, India.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Drishti Eye Institute. Dehradun, Uttarakhand, India.
University of Monastir. Faculty of Medicine. Fattouma Bourguiba University Hospital. Department of Ophthalmology Monastir, Tunisia.
University of Monastir. Faculty of Medicine. Fattouma Bourguiba University Hospital. Department of Ophthalmology. Monastir, Tunisia.
Abstract
Post-fever retinitis (PFR) is an infectious or para-infectious uveitic entity caused by bacterial or viral agents and seen mainly in tropical countries. Systemic symptoms such as joint pain, skin rash are common during the febrile stage. On the basis of only clinical presentation, it is difficult to pin-point the exact etiology for PFR. Serological investigations, polymerase chain reaction, and knowledge of concurrent epidemics in the community may help to identify the etiological organism. Bacterial causes of PFR such as rickettsia and typhoid are treated with systemic antibiotics, with or without systemic steroid therapy, whereas PFR of viral causes such as chikungunya, dengue, West Nile virus, and Zika virus have no specific treatment and are managed with steroids. Nevertheless, many authors have advocated mere observation and the uveitis resolved with its natural course of the disease. In this article, we have discussed the clinical features, pathogenesis, investigations, and management of PFR.
Keywords
ChikungunyaRickettsia
West Nile virus
Zika virus
Dengue
Post-fever retinitis
Systemic steroids
Typhoid
Share