Active Ingredients: Doxycycline
Four days before hospital admission, painful swelling of his thumb joints and ankles started. Clinical examination revealed tender knee joints with effusion, hemorrhagic conjunctivitis, and typical papular-erythematous balanitis circinata.
He began receiving antiretroviral therapy after diagnosis, and HAART consisting of didanosine, stavudine, and nevirapine, with which the patient was fully compliant, had been started 6 months before presentation.
The bilateral knee effusion worsened dramatically, causing severe restriction in movement. Figure 1 Left fundus showed swollen optic disc blue arrow with macular star white arrow and crops of active choroidal lesions at superonasal retina with a linear arrangement in the form of migratory track nasally red arrow.
Figure 2 Optical coherence tomography of the left eye showed minimal subretinal fluid at the macula with some hyperreflectivity lesions at presentation.
The scale represents the corresponding measurement of 200 mm vertically and horizontally.
Note: The green arrow indicates the cross-section of the macula shown by the adjacent optical coherence tomography image.
On the basis of the clinical findings with the presence of crops of choroidal lesions with migratory track, she was treated as for presumed DUSN. Focal argon laser was given to the area of migratory track followed by oral albendazole 400 mg 12 hourly for 6 weeks.
Fundus showed resolution of vitritis, regression of optic disc swelling as well as resolution of crops of choroidal lesions, with no new active lesion Figure 3.
Repeat optical coherence tomography of the left eye showed resolution of subretinal fluid at the macula Figure 4. Figure 3 Left fundus showed resolution of crops of choroidal lesions with multiple focal laser scars nasal to the optic disc at 1 week posttreatment.
Figure 4 Optical coherence tomography of the left eye showed resolution of subretinal fluid at the macula at 1 week posttreatment. Blood investigation was done to rule out other infective causes. Respiratory tract colonization and a distinctive pneumonia syndrome in infants infected with chlamydia trachomatis.
N Engl J Med.
Gonococci meningitis in a newborn infant, with review of the literature. Am J Dis Child. In: Harley's Pediatric Ophthalmology.
Malaysian Family Physician, a peer-reviewed open-access journal of family practice and primary care research pneumonitis and also being more effective than topical in preventing relapse of conjunctivitis 2 Infected partners should receive oral doxycycline 100 mg twice daily for 7 days.