Purtscher-like retinopathy in a paediatric patient with haemolytic uraemic syndrome: A case report and literature review.

An 8-year-old boy presented with fever, vomits, bloody diarrhoea, and blurred vision. The patient was diagnosed with Haemolytic Uraemic Syndrome (HUS) due to the symptoms and a positive Verotoxin stool test. Funduscopic examination showed retinal involvement in both eyes, peri-papillary paleness, retinal haemorrhages, and soft "Purtscher Fleckens" exudates. A favourable outcome was achieved after hospital admission and systemic treatment. Dialysis treatment was not needed due the preserved diuresis. Although Purtscher-like retinopathy is very uncommon, ocular examination is mandatory in patients with pancreatitis, autoimmune diseases, and thrombotic microangiopathies, such as HUS.

Retinopatía Purtscher-like en paciente pediátrico con síndrome urémico hemolítico: reporte de caso y revisión de la literatura / Purtscher-like retinopathy in a paediatric patient with haemolytic uraemic syndrome: A case report and literature review

Se presenta el caso clínico de un paciente de 8 años de edad con un cuadro febril, vómitos, diarrea con sangre y visión borrosa. El paciente fue diagnosticado de síndrome urémico hemolítico (SHU) por clínica y detección de verotoxina en materia fecal. La exploración fundoscópica mostró compromiso retiniano en ambos ojos, palidez peripapilar, hemorragias retinianas y exudados blandos en forma de Purtscher «flecken». La evolución fue favorable tras el ingreso y tratamiento sistémico, no requiriendo diálisis por diuresis conservada. La exploración oftalmológica de estos pacientes es fundamental para el estudio del paciente, ya que, a pesar de ser infrecuente, la retinopatía Purtscher-like puede verse en cuadros de pancreatitis, enfermedades autoinmunes y microangiopatías trombóticas como el SHU (AU)

An 8-year-old boy presented with fever, vomits, bloody diarrhea, and blurred vision. The patient was diagnosed with haemolytic uraemic syndrome (HUS) due to the symptoms and a positive verotoxin stool test. Funduscopic examination showed retinal involvement in both eyes, peri-papillary paleness, retinal haemorrhages, and soft Purtscher «fleckens» exudates. A favourable outcome was achieved after hospital admission and systemic treatment. Dialysis treatment was not needed due the preserved diuresis. Although Purtscher-like retinopathy is very uncommon, ocular examination is mandatory in patients with pancreatitis, autoimmune diseases, and thrombotic microangiopathies, such as HUS (AU)

Purtscher-like retinopathy in a paediatric patient with haemolytic uraemic syndrome: A case report and literature review. / Retinopatía Purtscher-like en paciente pediátrico con síndrome urémico hemolítico: reporte de caso y revisión de la literatura.

An 8-year-old boy presented with fever, vomits, bloody diarrhea, and blurred vision. The patient was diagnosed with haemolytic uraemic syndrome (HUS) due to the symptoms and a positive verotoxin stool test. Funduscopic examination showed retinal involvement in both eyes, peri-papillary paleness, retinal haemorrhages, and soft Purtscher «fleckens¼ exudates. A favourable outcome was achieved after hospital admission and systemic treatment. Dialysis treatment was not needed due the preserved diuresis. Although Purtscher-like retinopathy is very uncommon, ocular examination is mandatory in patients with pancreatitis, autoimmune diseases, and thrombotic microangiopathies, such as HUS.