Retinal vasoproliferative granulomatous lesion associated with hand pyoderma caused by Streptococcus pyogenes.
Ocul Immunol Inflamm
; 19(1): 58-61, 2011 Feb.
Article
em En
| MEDLINE
| ID: mdl-21034303
ABSTRACT
PURPOSE:
To report a retinal vasoproliferative granulomatous lesion in association with pyoderma.DESIGN:
Single case report.METHODS:
A 32-year-old woman had blurred central vision in the right eye, concurrent with pyoderma of the fingers of both hands, 2 days later followed by fever.RESULTS:
The patient had a granulomatous lesion in the upper retina, which caused leakage, leading to subretinal and intraretinal accumulation of hard exudates in the posterior pole, together with periphlebitis extending over the wider area of the retina. The culture of the pyodermic lesion detected Streptococcus pyogenes. With the 2-month course of amoxicillin-clavulanate, combined with prednisolone tapered from 30 mg daily, the visual acuity (decimal fraction) in the right eye returned from 0.01 (logMAR = 2) to 0.9 (logMAR = 0.1). However, after the discontinuation of the antibiotics and prednisolone, the retinal lesion became more vasoproliferative and caused leakage to reduce the vision again. The leakage was remedied by laser photocoagulation to the retinal lesion.CONCLUSIONS:
The retinal granulomatous lesion was caused by streptococcal infection in pyoderma and later became more vasoproliferative with macroaneurysms and microaneurysms even after the initial subsidence of the lesion with antibiotics treatment.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Pioderma
/
Doenças Retinianas
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Infecções Estreptocócicas
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Streptococcus pyogenes
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Granuloma
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Mãos
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Neovascularização Patológica
Tipo de estudo:
Risk_factors_studies
Limite:
Adult
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Female
/
Humans
Idioma:
En
Revista:
Ocul Immunol Inflamm
Assunto da revista:
ALERGIA E IMUNOLOGIA
/
OFTALMOLOGIA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Japão