Case report of post streptococcal multifocal choroiditis in a young pregnant female: A success story

ABSTRACT

Background

Multifocal choroiditis (MFC) is described as a chronic bilateral progressive inflammatory outer chorioretinopathy, that usually affects healthy myopic Caucasian women with no associated systemic/ocular diseases. This patient had a severe acute presentation of aggressive multifocal choroiditis that was treated with systemic steroids.

Case presentation

This is a retrospective case report of a 30-year-old, white, European, female who was 10 weeks pregnant. She had bilateral severe vision loss and rapidly progressive rash and arthritis. The patient was extensively investigated for inflammatory and infectious etiologies by a multidisciplinary team including rheumatology and obstetrics and gynecology. Antistreptolysin levels were moderately raised. Serial retinal optical coherence tomography scans were performed and were critical for assessing disease activity and demonstrating the extent of retinal and choroidal lesions.

Conclusion

This was a challenging case as the patient was pregnant. Nevertheless, a multidisciplinary team, opted for treatment with systemic steroids which then lead to recovery of her vision.

KEYWORDS:

• Multifocal choroiditis
• pregnancy
• immunosuppression
• chorioretinopathy
• systemic steroids

Acknowledgments

We would like to thank the patient discussed in this case for allowing us to publish her journey and to James Cook University Hospital for their support in creating this manuscript.

Declaration of interest

The authors report no conflict of interest.

Consent

Written consent was obtained from the patient from the inclusion of material pertaining to themselves, that they acknowledge that they cannot be identified via the paper; and that they have been fully anonymized.

Additional information

Funding

This work was not supported by grants or funding agencies.