Unusual presentation of severe dengue: Dengue maculopathy
- Author:
Kee Huat Chuah
;
Christina Wei Khee Ng
;
Zabri Kamarudin
;
Chi Lun Wong
- Publication Type:Case Reports
- Keywords:
Dengue;
maculopathy;
eye disease
- MeSH:
Severe Dengue;
Eye Diseases
- From:
The Medical Journal of Malaysia
2017;72(1):73-74
- CountryMalaysia
- Language:English
-
Abstract:
Dengue infection is epidemic but ocular complications of
dengue are less reported. We report a case of dengueinfected
patient with disturbing ocular symptoms. He was
admitted for severe dengue. Subsequently, he presented
with symptoms of bilateral central scotoma with
metamorphosia. Fundus examination revealed cotton wool
spots and flame-shaped haemorrhages at the macula, with
dull foveal light reflex. He was diagnosed with bilateral
dengue maculopathy. The patient was managed
conservatively with surveillance. One week later, his eye
symptoms improved and were resolved six months later.
Early recognition and close monitoring remains the key to
successful management and interventions are rarely
needed.
- Full text:P020170306417801168163.pdf