Post-typhoid fever retinitis

Abstract

A 34-year-old male presented with a sudden, painless decrease in vision in both eyes in the past 7 days. He had a history of an episode of fever 7 days before ocular symptoms and had been treated with three doses of injection cefixime (1.5 g) and antipyretics based on a positive Widal test. On detailed fundus examination, both eyes showed creamy white superficial lesions with ill-defined margins, suggestive of retinitis, with a few hemorrhages along the inferior arcade. The diagnosis of both eyes’ post-typhoid fever retinitis was made, and he was investigated for complete blood count, peripheral smear, erythrocyte sedimentation rate, and human immunodeficiency virus Tridot test, which were normal. He was treated with oral cefixime (400 mg) twice daily and oral prednisolone 1 mg/kg body weight for 7 days. The patient showed significant improvement after the treatment.