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- Title
Neuroretinitis caused by Bartonella henselae: case report.
- Authors
Ferreira, Sofia Simões; Ribeiro, Andreia; Neves, Filipe; Pais, Isabel Pinto; Torres, Teresa; Meira, Dália; Real, Marta Vila
- Abstract
Cat scratch disease is an infectious disease caused by Bartonella henselae characterized by regional lymphadenopathy and fever. Although it may involve other organs, ocular involvement is rare (5%-10%) and may manifest as neuroretinitis. We present a case of an 11-year-old patient admitted to the emergency department because of vision loss on the right eye, detected on a vision screening test. Ophthalmological evaluation showed disc swelling, peripapillary microhaemorrhages and macular oedema with lipid-rich exudates, suggestive of the macular star pattern. Serological studies revealed elevated titre of antibodies to Bartonella henselae. The patient was treated with rifampicin and doxycycline, with optimal response. Neuroretinitis is an uncommon manifestation of Bartonella henselae infection and should be suspected in any patient presenting loss of visual acuity, along with the finding of disc swelling, macular star exudates, and a history of contact with cats. Most patients recover most or all of their pre-infection visual function, however, a small subset of patients with particularly severe neuroretinitis may be left with optic sequelae. There are no randomized trials on the eff ectiveness of treatment but antibiotic therapy with rifampicin and doxycycline seems to shorten the course of the disease and hasten visual recovery.
- Subjects
EDEMA; VISION testing; BARTONELLA; EYE examination; CAT-scratch disease; VISION disorders; RETINAL diseases; OCULAR manifestations of general diseases
- Publication
Paediatria Croatica, 2018, Vol 62, Issue 3, p127
- ISSN
1330-1403
- Publication type
Article
- DOI
10.13112/PC.2018.18