Foveal hemorrhage in an immunocompetent patient with visceral leishmaniasis

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• 作者：P. Cibils Farré ; s^a ; ^{pablocibils@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; P. Bedoya Ayala^a ; G.H. Burga Kuroda^a ; M. Zegarra Domí ; nguez^a ; J.D. Luna^b ; J. Velazco Casapí ; a^a
• 关键词：Foveal hemorrhage ; Immunocompetent status ; Intraretinal hemorrhages ; Visceral leishmaniasis
• 刊名：Archivos de la Sociedad Española de Oftalmología (English Edition)
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：90
• 期：12
• 页码：597-599
• 全文大小：825 K

文摘

To report a case of foveal and macular intraretinal hemorrhages in an immunocompetent male patient with visceral leishmaniasis.

<h4 id="absSec_2">Case reporth4>

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.

<h4 id="absSec_3">Conclusionh4>

Bilateral retinal hemorrhages in an endemic country could suggest the diagnosis of visceral leishmaniasis.