Bilateral acute anterior uveitis as a presenting symptom of Mycoplasma pneumoniae infection

Can J Ophthalmol. 2006 Oct;41(5):594-5. doi: 10.1016/S0008-4182(06)80028-1.

Abstract

Case report: To report a case of severe bilateral anterior uveitis associated with Mycoplasma pneumoniae without pulmonary manifestations.

Comments: A healthy 5-year-old girl developed severe bilateral anterior uveitis accompanied by fever, arthralgia, gastrointestinal complaints, and lethargy. Results of laboratory investigations were normal except for high levels of Mycoplasma pneumoniae antibodies. The uveitis subsided with topical application of steroids, cycloplegia, and with oral azithromycin. Although Mycoplasma pneumoniae is a rare cause of uveitis, it should be considered in patients presenting with uveitis, even with no accompanying pulmonary or other typical systemic mycoplasmal manifestations.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Anti-Bacterial Agents / therapeutic use
  • Antibodies, Bacterial / blood
  • Azithromycin / therapeutic use
  • Child, Preschool
  • Dexamethasone / therapeutic use
  • Drug Therapy, Combination
  • Eye Infections, Bacterial / diagnosis
  • Eye Infections, Bacterial / drug therapy
  • Eye Infections, Bacterial / microbiology*
  • Female
  • Functional Laterality
  • Glucocorticoids / therapeutic use
  • Humans
  • Mycoplasma pneumoniae / immunology
  • Mycoplasma pneumoniae / isolation & purification*
  • Pneumonia, Mycoplasma / diagnosis
  • Pneumonia, Mycoplasma / drug therapy
  • Pneumonia, Mycoplasma / microbiology*
  • Uveitis, Anterior / diagnosis
  • Uveitis, Anterior / drug therapy
  • Uveitis, Anterior / microbiology*

Substances

  • Anti-Bacterial Agents
  • Antibodies, Bacterial
  • Glucocorticoids
  • Dexamethasone
  • Azithromycin