A rare ocular manifestation of mycoplasma pneumoniae infection

Tunis Med. 2023 Nov 5;101(11):855-857.

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.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Adult
  • Female
  • Humans
  • Mycoplasma pneumoniae
  • Optic Neuritis* / diagnosis
  • Optic Neuritis* / drug therapy
  • Optic Neuritis* / etiology
  • Pneumonia, Mycoplasma* / complications
  • Pneumonia, Mycoplasma* / diagnosis
  • Pneumonia, Mycoplasma* / drug therapy
  • Visual Acuity

Substances

  • Adrenal Cortex Hormones