CYTOLOGICALLY PROVEN SERONEGATIVE LYME CHOROIDITIS AND VITRITIS

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Abstract

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 papanicolao 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.

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