PURPOSE: To report on a vitreous specimen in a 53-year-old patient with unilateral choroiditis and vitritis of unknown cause. METHODS: Cytologic examination of a vitreous aspirate stained by the Papanicolaou method. RESULTS: Intravitreal spirochetes consistent with Borrelia burgdorferi were found in this seronegative patient. CONCLUSION: Vitreous specimens of patients with choroiditis and vitritis of unknown cause should be examined cytologically, particularly when serologic results do not corroborate the clinical findings of Lyme disease.
PURPOSE: To report on a vitreous specimen in a 53-year-old patient with unilateral choroiditis and vitritis of unknown cause. METHODS: Cytologic examination of a vitreous aspirate stained by the Papanicolaou method. RESULTS: Intravitreal spirochetes consistent with Borrelia burgdorferi were found in this seronegative patient. CONCLUSION: Vitreous specimens of patients with choroiditis and vitritis of unknown cause should be examined cytologically, particularly when serologic results do not corroborate the clinical findings of Lyme disease.
Authors: Meisha L Raven; Alexander L Ringeisen; Yoshihiro Yonekawa; Maxwell S Stem; Lisa J Faia; Justin L Gottlieb Journal: Int J Retina Vitreous Date: 2017-03-20