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  • Title: Endogenous endophthalmitis caused by Rickettsia conorii.
    Author: Mendívil A, Cuartero V.
    Journal: Acta Ophthalmol Scand; 1998 Feb; 76(1):121-2. PubMed ID: 9541451.
    Abstract:
    PURPOSE: We report herein the first confirmed case of endogenous endophthalmitis caused by Rickettsia conorii. METHODS: Indirect immunofluorescence was performed in peripheral blood with antibodies against Rickettsia conorii. A vitreous aspirate was studied by indirect immunofluorescence with antibodies against Rickettsia conorii and by direct immunofluorescence with conjugated antigen against Rickettsia conorii. RESULTS: Indirect immunofluorescence in peripheral blood gave a titre of 1/320 at that moment and 1/640 fifteen days later. The vitreous aspirate studied by indirect immunofluorescence gave a titre of 1/620 and it showed a positive reaction to Rickettsia conorii antigen by direct immunofluorescence. CONCLUSION: Rickettsia conorii should be considered in the differential diagnosis of endogenous endophthalmitis in areas where Mediterranean spotted fever is endemic.
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