Objective: To report a case of foveal and macular intraretinal hemorrhages in an immunocompetent male patient with visceral leishmaniasis.
Case report: An immunocompetent, 42 year-old male, presented with progressive visual loss and metamorphopsia in his right eye. The fundus examination showed a foveal round yellow lesion and intraretinal hemorrhages in the macula. The patient was hospitalized with fever, anorexia, weight loss, hepatosplenomegaly, and progressive anemia. Laboratory studies were conducted and a positive test for leishmaniasis and hepatitis A was reported. Treatment was begun with amphotericin B 50mg/day up to a total dose of 1400mg.
Conclusion: Bilateral retinal hemorrhages in an endemic country could suggest the diagnosis of visceral leishmaniasis.
【저자키워드】 visceral leishmaniasis, Estado inmunocompetente, Foveal hemorrhage, Hemorragia foveal, Hemorragias intrarretinales, Immunocompetent status, Intraretinal hemorrhages, Leishmaniasis visceral,