1. COXIELLA BURNETTI INFECTION AS POSSIBLE CAUSE OF PANUVEITIS
Sofía Ajamil Rodanés
JM Herreras Cantalapiedra
Hospital Clínico Universitario Valladolid

2. INTRODUCTION CASE REPORT ♀ Coxiella Burnetti - intracellular organism
- transmitted though inhalation of infected aerosols
- ophthalmic manifestiations are rare
We describe the case of a woman who presented with bilateral panuveitis in the context of coxiella infection.
CASE REPORT ♀
22 year-old swine farmer presented with a five month history of loss of vision in her LE
BCVA 20/20 in right eye(RE) and 20/40 in the left eye(LE)
Funduscopy: vitritis, macular oedema and vasculitis in both eyes

3. C
All results were negative except for positive IgM titers for Coxiella Burnetti.
The patient was treated with doxycycline 100mg every 12 hours for 3 weeks.
One year later the patient was stable withtopical prednisolone and nepafenac.

4. 6 months later
Loss of vision, vitreous opacities, focus of retinitis LE and retinal vasculitis along the temporal vessels
Macular edema in both eyes

5. Treatment with infliximab 5mg/kg/day was started
Treatment: AZATHIOPRINE 50MG A DAY + PREDNISOLONE 20MG A DAY
After 9 months without response the visual acuity dropped to
RE 20/40
LE 20/ 
Treatment with infliximab 5mg/kg/day was started
CONCLUSIONS
C. burnetti should be added to the list of pathogens responsible of intraocular inflammation by an infective and/or inmmune mechanism.