Recurrent Uveitis and a Homonymous Visual Field Defect with Ring-Enhancing MRI Lesion: It's All Negative

Progressive loss of vision OU; HeadacheA 36-year old male with decreased vision OU and left frontal headache. An episode of self-reported red eye treated with topical steroids 6 months previous to presentation. Previous history significant for hypertension and possible bi-polar disorder with paranoia.VA: 20/15 OD, 20/200 OS; Color plates: 12/12 OU; RAPD OS; Right/temporal field defect ODMRICNS inflammatory lesionSurgery; IV anti-bacterial agents1. Knox DL, Green WR, Troncoso JC, Yardley JH, Hsu QOD, Zee DS. Cerebral ocular Whipple's disease: a 62-year odyssey from death to diagnosis. Neurology 45:61 7-625, 1 995. 2. Fenollar, F. Whipple's Disease. N Engl J Med 356:55-66, 2007. 3. Lynch T. Odel J. Fredericks DN. Louis ED. Forman S. Rotterdam H. Fahn S. Relman DA. Polymerase chain reaction-based detection of Tropheryma whippelii in central nervous system Whipple's disease. Annals of Neurology. 42:120-4, 1 997. 4. Louis ED. Lynch T. Kaufmann P. Fahn S. Odel J. Diagnostic guidelines in central nervous system Whipple's disease. Annals of Neurology. 40:561 -8, 1 996