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Frosted Branch Angiitis in a Patient Coinfected With Dengue Hemorrhagic Fever and Malaria

Frosted Branch Angiitis in a Patient Coinfected With Dengue Hemorrhagic Fever and Malaria Clinical Review & Education Ophthalmic Images Frosted Branch Angiitis in a Patient Coinfected With Dengue Hemorrhagic Fever and Malaria Padmaja Kumari Rani, FNB(Retina); Jay Chhablani, MS; Archana Bhargava, MD Figure. Left eye of patient coinfected with dengue hemorrhagic fever and malaria. The fundus photograph of the left eye reveals multiple intraretinal hemorrhages, vascular sheathing typical of frosted branch angiitis, and macular edema. Amaninhis30s,whowasknowntobecoinfectedwithdenguehem- macular edema (Figure). The patient received an intravitreal beva- orrhagic fever and malaria for a duration of 20 days, presented with cizumab injection in the left eye for the management of macular suddenonsetofdefectivevisioninhislefteyeforadurationof10days. edema. At the 4-month follow-up, his visual acuity improved to TheresultsofserologictestingwerepositiveforIgMantibodiestoden- counting fingers (at 1 m) in the left eye, and a fundus examination gue virus, and his peripheral blood smear showed malarial parasites. of the left eye revealed the partial resolution of the hemorrhages, His visual acuity was hand motion in the left eye. vascular sheathing typical of frosted branch angiitis, and the reso- lution of macular edema. Discussion Afundusphotographofthelefteyerevealedmultipleintraretinalhem- orrhages, vascular sheathing typical of frosted branch angiitis, and ARTICLE INFORMATION for Vitreo-Retinal Diseases, L. V. Prasad Eye Accepted for Publication: November 17, 2014. Institute, Kallam Anji Reddy Campus, L. V. Prasad http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Frosted Branch Angiitis in a Patient Coinfected With Dengue Hemorrhagic Fever and Malaria

Frosted Branch Angiitis in a Patient Coinfected With Dengue Hemorrhagic Fever and Malaria

Abstract

Clinical Review & Education Ophthalmic Images Frosted Branch Angiitis in a Patient Coinfected With Dengue Hemorrhagic Fever and Malaria Padmaja Kumari Rani, FNB(Retina); Jay Chhablani, MS; Archana Bhargava, MD Figure. Left eye of patient coinfected with dengue hemorrhagic fever and malaria. The fundus photograph of the left eye reveals multiple intraretinal hemorrhages, vascular sheathing typical of frosted branch angiitis, and macular edema....
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Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/jamaophthalmol.2015.68
pmid
26067694
Publisher site
See Article on Publisher Site

Abstract

Clinical Review & Education Ophthalmic Images Frosted Branch Angiitis in a Patient Coinfected With Dengue Hemorrhagic Fever and Malaria Padmaja Kumari Rani, FNB(Retina); Jay Chhablani, MS; Archana Bhargava, MD Figure. Left eye of patient coinfected with dengue hemorrhagic fever and malaria. The fundus photograph of the left eye reveals multiple intraretinal hemorrhages, vascular sheathing typical of frosted branch angiitis, and macular edema. Amaninhis30s,whowasknowntobecoinfectedwithdenguehem- macular edema (Figure). The patient received an intravitreal beva- orrhagic fever and malaria for a duration of 20 days, presented with cizumab injection in the left eye for the management of macular suddenonsetofdefectivevisioninhislefteyeforadurationof10days. edema. At the 4-month follow-up, his visual acuity improved to TheresultsofserologictestingwerepositiveforIgMantibodiestoden- counting fingers (at 1 m) in the left eye, and a fundus examination gue virus, and his peripheral blood smear showed malarial parasites. of the left eye revealed the partial resolution of the hemorrhages, His visual acuity was hand motion in the left eye. vascular sheathing typical of frosted branch angiitis, and the reso- lution of macular edema. Discussion Afundusphotographofthelefteyerevealedmultipleintraretinalhem- orrhages, vascular sheathing typical of frosted branch angiitis, and ARTICLE INFORMATION for Vitreo-Retinal Diseases, L. V. Prasad Eye Accepted for Publication: November 17, 2014. Institute, Kallam Anji Reddy Campus, L. V. Prasad

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Jun 1, 2015

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