Infect Chemother.  2012 Dec;44(6):504-507. 10.3947/ic.2012.44.6.504.

A Case of Dengue Fever with Maculopathy

Affiliations
  • 1Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. paihj@hanyang.ac.kr
  • 2Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea.

Abstract

Dengue fever is transmitted principally by Aedes aegypti, which is not infested in Korea. Therefore, all Korean patients with dengue fever are imported cases from endemic areas such as Southeast Asia. Although disease manifestation and complication of dengue fever are various, ocular involvement is rare. We encountered a patient infected with dengue virus, imported from the Philippines. After defervescence from dengue fever, he complained of blurred vision. Blot hemorrhage with retinal infiltration in the macular area was observed in both eyes. Maculopathy by dengue fever was treated with systemic and intraocular glucocorticoid for two weeks; his ocular condition then showed improvement.

Keyword

Dengue fever; Maculopathy

MeSH Terms

Aedes
Asia, Southeastern
Dengue
Dengue Virus
Eye
Hemorrhage
Humans
Korea
Philippines
Retinaldehyde
Vision, Ocular
Retinaldehyde

Figure

  • Figure 1 Color photographs of the fundus at initial presentation (A, B) shows blot hemorrhages and several yellowish infiltrates spots around both maculae in both eyes (A/B=Rt eye/Lt eye).

  • Figure 2 SD-OCT shows macular edema in both eyes (A/B=Rt eye/Lt eye).

  • Figure 3 Color photographs of the fundus(A, B) shows resolution of spot hemorrhage and retinal infiltrates in both eyes (23 days after treatment) (A/B=Rt eye/Lt eye).


Cited by  1 articles

A Case of Dengue Fever with Macular Involvement
Kyung Hyun Jin, Ji Yeon Ahn, Joon Ki Min, Jae Ho Shin, Sang Woong Moon
J Korean Ophthalmol Soc. 2014;55(2):317-323.    doi: 10.3341/jkos.2014.55.2.317.


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