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Year : 2022  |  Volume : 4  |  Issue : 1  |  Page : 38

Neuroretinitis as the only manifestation of Lyme disease: A case report

1 Department of Ophthalmology, Penido Burnier Institute, Campinas, São Paulo, Brazil
2 MUHC-McGill University Ocular Pathology and Translational Research Laboratory, Montreal, Quebec, Canada
3 MUHC-McGill University Ocular Pathology and Translational Research Laboratory; Department of Ophthalmology and Pathology, McGill University, Montreal, Quebec, Canada

Correspondence Address:
Mateus Pimenta Arruda
Durvalina Tavares Barreto Street, 30, Apartment 54, Sao Paulo
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/pajo.pajo_31_22

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Lyme disease is a multisystemic infection caused by the spirochete bacterium Borrelia burgdorferi, transmitted by the tick of the genus Ixodes sp. and has three stages: primary, secondary, and tertiary. Ocular involvement is possible in any of these stages. Neuroretinitis is a rare manifestation. It is recommended that the diagnosis be performed by serology using an immunoenzymatic test, and confirmed by the Western Blot test. The recommended therapy is doxycycline 100 mg 12/12 h or 200 mg once a day for 14 days to 21 days or amoxicillin 500 mg three times a day for 14–21 days. We herein present a patient who had neuroretinitis related to a previous diagnosis of Lyme disease. The presence of neuroretinitis in a setting of Lyme disease represents a very uncommon manifestation of this particular infection.

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