A Case of Dengue Fever with Maculopathy

Kil Woo Nam; Jee Eun Kim; Eun Young Doo; Hye Mi Jung; Eun Sung Lee; Bo Sang Kim; Ji Hoon Park; Ji Yeon Min; Myung Kyoo Ko; Hyun Joo Pai

doi:10.3947/ic.2012.44.6.504

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Nam, Kim, Doo, Jung, Lee, Kim, Park, Min, Ko, and Pai: A Case of Dengue Fever with Maculopathy

Case Report

Infection & Chemotherapy

Infection & Chemotherapy 2012; 44(6): 504-507.

Published online: 31 December 2012

DOI: https://doi.org/10.3947/ic.2012.44.6.504

A Case of Dengue Fever with Maculopathy

Kil Woo Nam¹, Jee Eun Kim¹, Eun Young Doo¹, Hye Mi Jung¹, Eun Sung Lee¹, Bo Sang Kim¹, Ji Hoon Park¹, Ji Yeon Min¹, Myung Kyoo Ko², Hyun Joo Pai¹

¹Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.

²Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea.

Correspondence to Hyun Joo Pai. Department of Internal medicine, Hanyang University College of Medicine, 17Haengdang-dong, Seongdong-gu, Seoul 133-792, Korea. Tel: +82-2-2290-8356, Fax: +82-2-2298-9183, paihj@hanyang.ac.kr

Received 30 May 2012 Revised 6 July 2012 Accepted 6 August 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Dengue fever, Maculopathy

Figures and Tables

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).

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