RESUMO
Superior ophthalmic vein thrombosis is a rare entity, which may lead to serious vision complications. We report the unusual observation of a 78-year-old patient who developed exophtalmos, chemosis, and blurred vision due to isolated superior ophthalmic vein thrombosis. This rare complication is likely due to tamoxifen therapy. In contrast with published data, in the present case, cessation of tamoxifen therapy did not improve ocular symptoms.
Assuntos
Antineoplásicos Hormonais/efeitos adversos , Neoplasias da Mama/tratamento farmacológico , Carcinoma Ductal de Mama/tratamento farmacológico , Exoftalmia/induzido quimicamente , Oclusão da Veia Retiniana/induzido quimicamente , Veia Retiniana/patologia , Tamoxifeno/efeitos adversos , Idoso , Antineoplásicos Hormonais/administração & dosagem , Exoftalmia/diagnóstico , Feminino , Humanos , Imageamento por Ressonância Magnética , Oclusão da Veia Retiniana/diagnóstico , Tamoxifeno/administração & dosagemRESUMO
We report the case of a woman who has a parrot fever disease. The first manifestations were headache, fever and flu-like muscle pain. The diagnostic was finally suspected by the anamnesis, which revealed that the patient lived with parrots, and confirmed by serological analysis. Pulmonary symptoms occurred only at a later stage, with the development of lesions showed by the chest CT Scan. The treatment was based on specific antibiotics, with the successful use of oral clarythromycin.