DOI: 10.36347/sjams.2016.v04i10.048

Pages: 3801-3803

We report a case of leptospirosis Neuroretinitis in pregnancy. A 25-year-old Malay female, primigravida at 4 weeks of period of amenorrhea (POA) with no underlying co morbidity, she presented with initial complaint of right eye sudden onset blurring of vision, right central scotoma for 4 days. There was history of intermittent fever associated with chills and visiting a jungle area one month prior to presentation. On examination, visual acuity of right eye was 6/60; visual acuity of left eye was 6/6. There was relative afferent papillary defect (RAPD) at the right eye. The anterior segment were normal both eyes. Examination of the right eye fundus showed hyperaemic disc swelling with blurred margin at the right eye. There was also hyperaemic appearance of the left optic. After 4 days admission, noted her fundus showed incomplete macular star at the right eye. Her Leptospiral serology titre was positive. Intravenous ceftazidime was commenced for her. Her vision of right eye improved to 6/12 after 2 months of treatment.