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Neuroretinitis in ocular bartonellosis: a case series.

Raihan AR, Zunaina E, Wan-Hazabbah WH, Adil H, Lakana-Kumar T - Clin Ophthalmol (2014)

Bottom Line: Serology analysis showed strongly positive for B. henselae in all of the patients.All patients showed a good visual outcome except case 3.Vision-threatening ocular manifestation of cat scratch disease can be improved with systemic antibiotics and steroids.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.

ABSTRACT
We report a case series of neuroretinitis in ocular bartonellosis and describe the serologic verification for Bartonella henselae. This is a retrospective interventional case series of four patients who presented in the ophthalmology clinic of Hospital Universiti Sains Malaysia from June 2012 to March 2013. All four patients had a history of contact with cats and had fever prior to ocular symptoms. Each patient presented with neuroretinitis characterized by optic disc swelling with macular star. Serology analysis showed strongly positive for B. henselae in all of the patients. All patients were treated with oral azithromycin (except case 4, who was treated with oral doxycycline), and two patients (case 1 and case 3) had poor vision at initial presentation that warranted the use of oral prednisolone. All patients showed a good visual outcome except case 3. Vision-threatening ocular manifestation of cat scratch disease can be improved with systemic antibiotics and steroids.

No MeSH data available.


Related in: MedlinePlus

Fundus and OCT findings at presentation and follow-up for right eye in case 4.Notes: Right eye showed optic disc swelling at inferior disc margin with macular star at presentation (A). OCT showed presence of subretinal fluid at presentation (B). There was prominent macular star and resolution of optic disc edema at 1-month follow-up (C). Repeat OCT showed resolution of subretinal fluid at 1-month follow-up (D).Abbreviations: ETDRS, Early Treatment Diabetic Retinopathy Study; max, maximum; min, minimum; OCT, optical coherence tomography; vol, volume.
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f5-opth-8-1459: Fundus and OCT findings at presentation and follow-up for right eye in case 4.Notes: Right eye showed optic disc swelling at inferior disc margin with macular star at presentation (A). OCT showed presence of subretinal fluid at presentation (B). There was prominent macular star and resolution of optic disc edema at 1-month follow-up (C). Repeat OCT showed resolution of subretinal fluid at 1-month follow-up (D).Abbreviations: ETDRS, Early Treatment Diabetic Retinopathy Study; max, maximum; min, minimum; OCT, optical coherence tomography; vol, volume.

Mentions: Physical examination revealed a body temperature of 37.0°C with presence of right submandibular lymphadenopathy. However, there was no skin lesion. BCVA was 6/30 in the right eye and 6/9 in the left eye. There was absence of RAPD. Fundus examination of the right eye showed optic disc swelling at the inferior disc margin associated with macular star (Figure 5A). Ocular examination of the left eye was normal. OCT of the right eye showed presence of subretinal fluid (Figure 5B).


Neuroretinitis in ocular bartonellosis: a case series.

Raihan AR, Zunaina E, Wan-Hazabbah WH, Adil H, Lakana-Kumar T - Clin Ophthalmol (2014)

Fundus and OCT findings at presentation and follow-up for right eye in case 4.Notes: Right eye showed optic disc swelling at inferior disc margin with macular star at presentation (A). OCT showed presence of subretinal fluid at presentation (B). There was prominent macular star and resolution of optic disc edema at 1-month follow-up (C). Repeat OCT showed resolution of subretinal fluid at 1-month follow-up (D).Abbreviations: ETDRS, Early Treatment Diabetic Retinopathy Study; max, maximum; min, minimum; OCT, optical coherence tomography; vol, volume.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4128839&req=5

f5-opth-8-1459: Fundus and OCT findings at presentation and follow-up for right eye in case 4.Notes: Right eye showed optic disc swelling at inferior disc margin with macular star at presentation (A). OCT showed presence of subretinal fluid at presentation (B). There was prominent macular star and resolution of optic disc edema at 1-month follow-up (C). Repeat OCT showed resolution of subretinal fluid at 1-month follow-up (D).Abbreviations: ETDRS, Early Treatment Diabetic Retinopathy Study; max, maximum; min, minimum; OCT, optical coherence tomography; vol, volume.
Mentions: Physical examination revealed a body temperature of 37.0°C with presence of right submandibular lymphadenopathy. However, there was no skin lesion. BCVA was 6/30 in the right eye and 6/9 in the left eye. There was absence of RAPD. Fundus examination of the right eye showed optic disc swelling at the inferior disc margin associated with macular star (Figure 5A). Ocular examination of the left eye was normal. OCT of the right eye showed presence of subretinal fluid (Figure 5B).

Bottom Line: Serology analysis showed strongly positive for B. henselae in all of the patients.All patients showed a good visual outcome except case 3.Vision-threatening ocular manifestation of cat scratch disease can be improved with systemic antibiotics and steroids.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.

ABSTRACT
We report a case series of neuroretinitis in ocular bartonellosis and describe the serologic verification for Bartonella henselae. This is a retrospective interventional case series of four patients who presented in the ophthalmology clinic of Hospital Universiti Sains Malaysia from June 2012 to March 2013. All four patients had a history of contact with cats and had fever prior to ocular symptoms. Each patient presented with neuroretinitis characterized by optic disc swelling with macular star. Serology analysis showed strongly positive for B. henselae in all of the patients. All patients were treated with oral azithromycin (except case 4, who was treated with oral doxycycline), and two patients (case 1 and case 3) had poor vision at initial presentation that warranted the use of oral prednisolone. All patients showed a good visual outcome except case 3. Vision-threatening ocular manifestation of cat scratch disease can be improved with systemic antibiotics and steroids.

No MeSH data available.


Related in: MedlinePlus