Occlusive retinal vasculitis in an immunocompetent woman: rare presentation of ocular melioidosis
Burkholderia pseudomallei is a known great mimicker responsible for melioidosis. Melioidosis presents with a wide spectrum of clinical presentations in various organs including the eye. Ocular involvement in melioidosis is unusual, with eyelid and orbital infection as the commonest presentation. We...
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Kugler Publications
2021
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| Online Access: | https://eprints.ums.edu.my/id/eprint/32049/1/Occlusive%20retinal%20vasculitis%20in%20an%20immunocompetent%20woman.pdf https://eprints.ums.edu.my/id/eprint/32049/2/Occlusive%20retinal%20vasculitis%20in%20an%20immunocompetent%20woman1.pdf https://eprints.ums.edu.my/id/eprint/32049/ https://myjo.org/index.php/myjo/article/view/214/111 https://doi.org/10.35119/myjo.v3i3.214 |
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| author | Huwaina Abdul Satar Muhammad Ikmal Mohamad Kamil Rosiah Muda Liza Sharmini Ahmad Tajudin |
| author_facet | Huwaina Abdul Satar Muhammad Ikmal Mohamad Kamil Rosiah Muda Liza Sharmini Ahmad Tajudin |
| author_sort | Huwaina Abdul Satar |
| building | UMS Library |
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| content_provider | Universiti Malaysia Sabah |
| content_source | UMS Institutional Repository |
| continent | Asia |
| country | Malaysia |
| description | Burkholderia pseudomallei is a known great mimicker responsible for melioidosis. Melioidosis presents with a wide spectrum of clinical presentations in various organs including the eye. Ocular involvement in melioidosis is unusual, with eyelid and orbital infection as the commonest presentation. We describe a 41-year-old, healthy woman who complained of reduced vision in her left eye. On examination, vision in the left eye was 6/9. There was evidence of occlusive retinal vasculitis on fundoscopy examination. Fundus fluorescein angiogram showed extensive capillary fallout. Diagnosis was established by a rise in the serum antibody titre for the bacterium and further supported by clinical improvement of vision after completion of treatment antibiotics: third-generation cephalosporin and combination of amoxicillin and clavulanic acid. Sectoral panretinal photocoagulation at the capillary fallout area successfully arrested the sequelae of retinal ischaemia. Occlusive retinal vasculitis is a rare presentation of melioidosis. Early prompt diagnosis of ocular melioidosis in an immunocompetent individual helps prevent visual-related morbidity. The ability of this bacteria to cause recurrent infection in an endemic area should not be under-estimated. |
| format | Article |
| id | my.ums.eprints-32049 |
| institution | Universiti Malaysia Sabah |
| language | en en |
| publishDate | 2021 |
| publisher | Kugler Publications |
| record_format | eprints |
| spelling | my.ums.eprints-320492022-03-29T03:58:01Z https://eprints.ums.edu.my/id/eprint/32049/ Occlusive retinal vasculitis in an immunocompetent woman: rare presentation of ocular melioidosis Huwaina Abdul Satar Muhammad Ikmal Mohamad Kamil Rosiah Muda Liza Sharmini Ahmad Tajudin RC109-216 Infectious and parasitic diseases Burkholderia pseudomallei is a known great mimicker responsible for melioidosis. Melioidosis presents with a wide spectrum of clinical presentations in various organs including the eye. Ocular involvement in melioidosis is unusual, with eyelid and orbital infection as the commonest presentation. We describe a 41-year-old, healthy woman who complained of reduced vision in her left eye. On examination, vision in the left eye was 6/9. There was evidence of occlusive retinal vasculitis on fundoscopy examination. Fundus fluorescein angiogram showed extensive capillary fallout. Diagnosis was established by a rise in the serum antibody titre for the bacterium and further supported by clinical improvement of vision after completion of treatment antibiotics: third-generation cephalosporin and combination of amoxicillin and clavulanic acid. Sectoral panretinal photocoagulation at the capillary fallout area successfully arrested the sequelae of retinal ischaemia. Occlusive retinal vasculitis is a rare presentation of melioidosis. Early prompt diagnosis of ocular melioidosis in an immunocompetent individual helps prevent visual-related morbidity. The ability of this bacteria to cause recurrent infection in an endemic area should not be under-estimated. Kugler Publications 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/32049/1/Occlusive%20retinal%20vasculitis%20in%20an%20immunocompetent%20woman.pdf text en https://eprints.ums.edu.my/id/eprint/32049/2/Occlusive%20retinal%20vasculitis%20in%20an%20immunocompetent%20woman1.pdf Huwaina Abdul Satar and Muhammad Ikmal Mohamad Kamil and Rosiah Muda and Liza Sharmini Ahmad Tajudin (2021) Occlusive retinal vasculitis in an immunocompetent woman: rare presentation of ocular melioidosis. Malaysian Journal of Ophthalmology (MyJO), 3. pp. 175-182. ISSN 2665-9557 (P-ISSN) , 2665-9565 (E-ISSN) https://myjo.org/index.php/myjo/article/view/214/111 https://doi.org/10.35119/myjo.v3i3.214 https://doi.org/10.35119/myjo.v3i3.214 |
| spellingShingle | RC109-216 Infectious and parasitic diseases Huwaina Abdul Satar Muhammad Ikmal Mohamad Kamil Rosiah Muda Liza Sharmini Ahmad Tajudin Occlusive retinal vasculitis in an immunocompetent woman: rare presentation of ocular melioidosis |
| title | Occlusive retinal vasculitis in an immunocompetent woman: rare presentation of ocular melioidosis |
| title_full | Occlusive retinal vasculitis in an immunocompetent woman: rare presentation of ocular melioidosis |
| title_fullStr | Occlusive retinal vasculitis in an immunocompetent woman: rare presentation of ocular melioidosis |
| title_full_unstemmed | Occlusive retinal vasculitis in an immunocompetent woman: rare presentation of ocular melioidosis |
| title_short | Occlusive retinal vasculitis in an immunocompetent woman: rare presentation of ocular melioidosis |
| title_sort | occlusive retinal vasculitis in an immunocompetent woman: rare presentation of ocular melioidosis |
| topic | RC109-216 Infectious and parasitic diseases |
| url | https://eprints.ums.edu.my/id/eprint/32049/1/Occlusive%20retinal%20vasculitis%20in%20an%20immunocompetent%20woman.pdf https://eprints.ums.edu.my/id/eprint/32049/2/Occlusive%20retinal%20vasculitis%20in%20an%20immunocompetent%20woman1.pdf https://eprints.ums.edu.my/id/eprint/32049/ https://myjo.org/index.php/myjo/article/view/214/111 https://doi.org/10.35119/myjo.v3i3.214 https://doi.org/10.35119/myjo.v3i3.214 |
| url_provider | http://eprints.ums.edu.my/ |