Diffuse Unilateral Subacute Neuroretinitis: Challenges in Diagnosis and Management

We report two cases of diffuse unilateral subacute neuroretinitis (DUSN) where multimodal imaging was used to assist in locating the nematode. The first case presented with clusters of migrating choroiditis with a suspicious tiny visualized worm noted on serial fundus photography. The second case ha...

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Published in:CUREUS JOURNAL OF MEDICAL SCIENCE
Main Authors: Nurul-Farhana, Mustafa; Roslin-Azni, Abdul Aziz; Sor-Earn, Tan; Shatriah, Ismail; Shelina, Oli Mohamed
Format: Article
Language:English
Published: SPRINGERNATURE 2024
Subjects:
Online Access:https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001223350000032
author Nurul-Farhana
Mustafa; Roslin-Azni
Abdul Aziz; Sor-Earn
Tan; Shatriah
Ismail; Shelina
Oli Mohamed
spellingShingle Nurul-Farhana
Mustafa; Roslin-Azni
Abdul Aziz; Sor-Earn
Tan; Shatriah
Ismail; Shelina
Oli Mohamed
Diffuse Unilateral Subacute Neuroretinitis: Challenges in Diagnosis and Management
General & Internal Medicine
author_facet Nurul-Farhana
Mustafa; Roslin-Azni
Abdul Aziz; Sor-Earn
Tan; Shatriah
Ismail; Shelina
Oli Mohamed
author_sort Nurul-Farhana
spelling Nurul-Farhana, Mustafa; Roslin-Azni, Abdul Aziz; Sor-Earn, Tan; Shatriah, Ismail; Shelina, Oli Mohamed
Diffuse Unilateral Subacute Neuroretinitis: Challenges in Diagnosis and Management
CUREUS JOURNAL OF MEDICAL SCIENCE
English
Article
We report two cases of diffuse unilateral subacute neuroretinitis (DUSN) where multimodal imaging was used to assist in locating the nematode. The first case presented with clusters of migrating choroiditis with a suspicious tiny visualized worm noted on serial fundus photography. The second case had an atypical presentation with extensive exudative retinal detachment and a suspicious coiled worm in the subretinal space noted on optical coherence tomography. Both cases received oral albendazole for six weeks while the first case received additional argon laser photocoagulation to the suspected nematode. Both cases showed resolution of the ocular inflammation upon completion of treatment with no further recurrences. DUSN should be suspected in young and healthy patients with unexplained unilateral inflammatory eye disease with severe loss of vision. This series highlights the challenges faced in identifying the nematode in cases with suspected DUSN.
SPRINGERNATURE

2168-8184
2024
16
4
10.7759/cureus.58510
General & Internal Medicine
gold
WOS:001223350000032
https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001223350000032
title Diffuse Unilateral Subacute Neuroretinitis: Challenges in Diagnosis and Management
title_short Diffuse Unilateral Subacute Neuroretinitis: Challenges in Diagnosis and Management
title_full Diffuse Unilateral Subacute Neuroretinitis: Challenges in Diagnosis and Management
title_fullStr Diffuse Unilateral Subacute Neuroretinitis: Challenges in Diagnosis and Management
title_full_unstemmed Diffuse Unilateral Subacute Neuroretinitis: Challenges in Diagnosis and Management
title_sort Diffuse Unilateral Subacute Neuroretinitis: Challenges in Diagnosis and Management
container_title CUREUS JOURNAL OF MEDICAL SCIENCE
language English
format Article
description We report two cases of diffuse unilateral subacute neuroretinitis (DUSN) where multimodal imaging was used to assist in locating the nematode. The first case presented with clusters of migrating choroiditis with a suspicious tiny visualized worm noted on serial fundus photography. The second case had an atypical presentation with extensive exudative retinal detachment and a suspicious coiled worm in the subretinal space noted on optical coherence tomography. Both cases received oral albendazole for six weeks while the first case received additional argon laser photocoagulation to the suspected nematode. Both cases showed resolution of the ocular inflammation upon completion of treatment with no further recurrences. DUSN should be suspected in young and healthy patients with unexplained unilateral inflammatory eye disease with severe loss of vision. This series highlights the challenges faced in identifying the nematode in cases with suspected DUSN.
publisher SPRINGERNATURE
issn
2168-8184
publishDate 2024
container_volume 16
container_issue 4
doi_str_mv 10.7759/cureus.58510
topic General & Internal Medicine
topic_facet General & Internal Medicine
accesstype gold
id WOS:001223350000032
url https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001223350000032
record_format wos
collection Web of Science (WoS)
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