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Journal of Medical Case Reports

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Open Access 01-12-2021 | Doxycycline | Case report

Recurrent bilateral chorioretinitis with positive Lyme serology: a case report

Authors: Reda Issa, Stephen A. M. DeSouza

Published in: Journal of Medical Case Reports | Issue 1/2021

Abstract

Background

It has been disputed whether Lyme is a true causative agent in posterior uveitis or an incidental finding.

Case presentation

This report presents a case of a 33-year-old Caucasian female with a remote history of Lyme disease who presented with blurry vision in the right eye. Exam and imaging revealed a right active chorioretinitis and positive Lyme serology. The patient was systemically treated with prednisone and antibiotics. Symptoms initially improved, but she later developed a localized choriocapillaritis in the left eye. Steroids and antibiotics were restarted many times with fluctuating course of the disease. The patient was then started on chronic steroid-sparing immunosuppression, which has controlled the condition without recurrence.

Conclusions

The current report presents a unique case of recurrent bilateral chorioretinitis with positive Lyme serology and raises the question of the existence of true Lyme-associated uveitis.

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Title: Recurrent bilateral chorioretinitis with positive Lyme serology: a case report
Authors: Reda Issa
Stephen A. M. DeSouza
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Doxycycline
Uveitis
Lyme Disease
Published in: Journal of Medical Case Reports / Issue 1/2021
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-021-02804-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Recurrent bilateral chorioretinitis with positive Lyme serology: a case report

Abstract

Background

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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