A rare ocular manifestation of mycoplasma pneumoniae infection

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Published Nov 24, 2023
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Vol. 101 No. 11 (2023): Tunis Med nov

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Sonda Kammoun
Department of Ophtalmology, Habib Bourguiba Hospital,Sfax, University of Sfax, Tunisia
Mona Rekik
Department of Ophtalmology, Habib Bourguiba Hospital, Sfax, University of Sfax, Tunisie
Kmar Maaloul
Department of Ophtalmology, Habib Bourguiba Hospital, Sfax, University of Sfax, Tunisia
https://orcid.org/0000-0001-9256-9197
Saloua Ben Amor
Department of Ophtalmology, Habib Bourguiba Hospital, Sfax, University of Sfax, Tunisia
Amira Trigui
Department of Ophtalmology, Habib Bourguiba Hospital, Sfax, University of Sfax, Tunisia

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.

Keywords:

Mycoplasma pneumoniae, recurrent, retro-bulbar optic neuritis

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