RESUMO
OBJETIVO: Comunicar un caso de hemorragias foveal e intrarretinal macular en paciente inmunocompetente con leishmaniasis visceral. CASO CLÍNICO: Hombre de 42 años inmunocompetente, se presentó con pérdida visual progresiva y metamorfopsia en el ojo derecho. En el examen del fondo de ojo se encontró una lesión amarilla redonda foveal y hemorragias intrarretinales en la mácula. El paciente fue hospitalizado con fiebre, anorexia, pérdida de peso, hepatoesplenomegalia y anemia progresiva. Se realizaron estudios de laboratorio que fueron positivos para la leishmaniasis y hepatitis A. El tratamiento se inició con anfotericina B 50 mg/día hasta una dosis total de 1.400 mg. CONCLUSIÓN: Hemorragias retinales bilaterales en un país endémico podrían indicar el diagnóstico de leishmaniasis visceral
OBJECTIVE: To report a case of foveal and macular intraretinal hemorrhages in an immunocompetent male patient with visceral leishmaniasis. CASE REPORT: An immunocompetent, 42 year-old male, presented with progressive visual loss and metamorphopsia in his right eye. The fundus examination showed a foveal round yellow lesion and intraretinal hemorrhages in the macula. The patient was hospitalized with fever, anorexia, weight loss, hepatosplenomegaly, and progressive anemia. Laboratory studies were conducted and a positive test for leishmaniasis and hepatitis A was reported. Treatment was begun with amphotericin B 50 mg/day up to a total dose of 1400 mg. CONCLUSION: Bilateral retinal hemorrhages in an endemic country could suggest the diagnosis of visceral leishmaniasis
Assuntos
Adulto , Humanos , Masculino , Leishmaniose Visceral/complicações , Hemorragia Retiniana/complicações , Hemorragia Retiniana/diagnóstico , Hepatite A/complicações , Hepatite A/diagnóstico , Hepatite A/tratamento farmacológico , Anfotericina B/uso terapêutico , Diagnóstico Precoce , Transfusão de Sangue , Imunocompetência/imunologia , Macula Lutea/fisiopatologia , Macula Lutea , Fundo de Olho , Ensaio de Imunoadsorção EnzimáticaRESUMO
OBJECTIVE: To report a case of foveal and macular intraretinal hemorrhages in an immunocompetent male patient with visceral leishmaniasis. CASE REPORT: An immunocompetent, 42 year-old male, presented with progressive visual loss and metamorphopsia in his right eye. The fundus examination showed a foveal round yellow lesion and intraretinal hemorrhages in the macula. The patient was hospitalized with fever, anorexia, weight loss, hepatosplenomegaly, and progressive anemia. Laboratory studies were conducted and a positive test for leishmaniasis and hepatitis A was reported. Treatment was begun with amphotericin B 50mg/day up to a total dose of 1400mg. CONCLUSION: Bilateral retinal hemorrhages in an endemic country could suggest the diagnosis of visceral leishmaniasis.
