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Case Reports
. 2023 Nov 5;101(11):855-857.

A rare ocular manifestation of mycoplasma pneumoniae infection

Sonda Kammoun  1 , Mona Rekik  1 , Kmar Maaloul  1 , Saloua Ben Amor  1 , Amira Trigui  1
Affiliations
Case Reports

A rare ocular manifestation of mycoplasma pneumoniae infection

Sonda Kammoun et al. Tunis Med. .

Abstract

Introduction: Ocular manifestations of Mycoplasma Pneumoniae infection are rare. We present a case of Mycoplasma Pneumoniae infection revealed by a recurrent retro-bulbar optic neuritis.

Case description: A 38-year-old woman, initially treated for a typical retro-bulbar optic neuritis of the right eye with corticosteroid therapy at high doses, presented for a recurrent decreased vision in the same eye, associated with blepharospasm and conjunctival hyperemia. The etiological assessment revealed a recent Mycoplasma Pneumoniae infection. The patient was treated with corticosteroids and fluorquinolones. Her visual acuity improved to 20/20 and the other symptoms disappeared. She did not develop any recurrence during follow-up.

Conclusions: Management of atypical optic neuritis in a young adult requires consideration and serologic testing for Mycoplasma Pneumoniae especially in endemic regions.

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Figures

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Figure 1. Fundus photos and fluorescein angiography: absence of optic disc edema or other retinal lesions
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Figure 2. Visual fields a. During the first episode: narrowing of the isoptera with exclusion of the blind spot in the right eye b. During the second episode: same aspect c. After treatment: marked improvement
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Figure 3. Visual evoked potentials: Normal morphology responses with correct P 100 wave latencies on both sides
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Figure 4. a. Blepharospasm and conjunctival hyperemia in the right eye b. Regression of blepharospasm and conjunctival hyperemia in the right eye after treatment
See this image and copyright information in PMC

References

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