1. Detachment of retinal pigment epithelium in retinopathy due to malaria.
- Author
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Rocha Cabrera P, Rodríguez Talavera I, Losada Castillo MJ, Alemán Valls R, and Lorenzo Morales J
- Subjects
- Antimalarials therapeutic use, Chad, Doxycycline therapeutic use, Erythrocytes parasitology, Fluorescein Angiography, Humans, Malaria, Cerebral drug therapy, Malaria, Falciparum drug therapy, Male, Middle Aged, Prednisone therapeutic use, Quinidine analogs & derivatives, Quinidine therapeutic use, Quinine therapeutic use, Retinal Detachment diagnostic imaging, Retinal Detachment drug therapy, Retinal Detachment pathology, Retinal Hemorrhage etiology, Retinal Pigment Epithelium diagnostic imaging, Tomography, Optical Coherence, Travel-Related Illness, Malaria, Cerebral complications, Malaria, Falciparum complications, Retinal Detachment etiology, Retinal Pigment Epithelium pathology
- Abstract
Case Report: A 45-year-old man was diagnosed with malaria with neurological involvement. Two months later he referred metamorphopsia in the left eye. Malarial retinopathy was observed in the fundus examination. The Optic Coherence Tomography (OCT) of the macula showed parafoveal pigment epithelium detachment (DEP). Specific anti-malarial treatment was initiated, with the disappearance of the retinopathy being observed., Discussion: Plasmodium falciparum is responsible for the retinopathy in neurological malaria. A funduscopic examination and macular OCT should be performed in these patients, as it is associated with a higher mortality when there is a retinal involvement., (Copyright © 2018 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Published
- 2018
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