Bilateral Post-typhoid Retinitis: A Case Report

Authors

  • Kumudini Subedi Tilganga Institute of Ophthalmology, Kathmandu, Nepal; Bharatpur Eye Hospital, Chitwan, Nepal https://orcid.org/0000-0002-0141-5297
  • Smita Shrestha Tilganga Institute of Ophthalmology, Kathmandu, Nepal
  • Anu Manandhar Tilganga Institute of Ophthalmology, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/medphoenix.v6i1.34638

Keywords:

typhoid, retinitis, macular star

Abstract

Retinitis following typhoid fever is an immune-mediated reaction that is rarely reported in literature. We present a case of a 20-year-old pregnant female who presented with progressive loss of vision in both eyes for three weeks. She had completed treatment for enteric fever 4 weeks before. Presenting vision was 6/36 in right eye and 3/60 in left eye. Fundus examination showed retinitis with retinal haemorrhages and macular stars in both eyes. After approval from gynaecologist, oral steroid was given. Vision improved significantly to 6/6 in right eye and 6/12 in left eye after 1.5 months of treatment. There was resolution of haemorrhages, exudates and stellate maculopathy. Hence, post-typhoid immune-mediated retinitis is rare sequelae of typhoid fever which can be treated with good visual outcome using oral steroids.

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Author Biographies

Kumudini Subedi, Tilganga Institute of Ophthalmology, Kathmandu, Nepal; Bharatpur Eye Hospital, Chitwan, Nepal

Fellow of Uvea and Medical Retina, Tilganga Institute of Ophthalmology
Ophthalmologist, Bharatpur Eye Hospital, Bharatpur, Chitwan 

Smita Shrestha, Tilganga Institute of Ophthalmology, Kathmandu, Nepal

Uveitis Specialist, Tilganga Institute of Ophthalmology

Anu Manandhar, Tilganga Institute of Ophthalmology, Kathmandu, Nepal

Associate Professor, Uveitis Specialist, Tilganga Institute of Ophthalmology

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Published

2021-07-19

How to Cite

Subedi, K., Shrestha, S., & Manandhar, A. (2021). Bilateral Post-typhoid Retinitis: A Case Report. Med Phoenix, 6(1), 46–49. https://doi.org/10.3126/medphoenix.v6i1.34638

Issue

Section

Case Reports