Document Detail


Neuroretinitis caused by Bartonella quintana.
MedLine Citation:
PMID:  22926397     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 57-year-old woman presented to the eye clinic for impaired vision on the left eye persisting for three months. Clinical examination revealed massive peripapillary exudate and stellate macular exudate, raising suspicion of a cat-scratch disease. Tetracycline therapy was introduced, followed by azithromycin and topical corticosteroids. Serologic testing for Bartonella henselae and Bartonella quintana was performed. In the first sample, Bartonella quintana IgG titer was 128, and IgM titer 20, whereas in repeat sample the respective findings were 64 and negative. Such a titer dynamics pointed to Bartonella quintana infection. The prescribed therapy resulted in vision improvement and normalization of the clinical picture. After nine months of therapy initiation, macular exudate had almost completely disappeared. Based on the patient's history, symptoms, therapeutic response and IgM pattern, the neuroretinitis must have developed secondary to Bartonella quintana infection.
Authors:
Zeljka Vuković-Arar; Zeljka Janjetović; Sandra Sekelj; Lidija Sapina; Ivana Pajić-Penavić
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina     Volume:  9     ISSN:  1840-0132     ISO Abbreviation:  Med Glas (Zenica)     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-28     Completed Date:  2012-11-01     Revised Date:  2013-02-04    
Medline Journal Info:
Nlm Unique ID:  101250177     Medline TA:  Med Glas (Zenica)     Country:  Bosnia and Hercegovina    
Other Details:
Languages:  eng     Pagination:  435-7     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia. zvarar@net.hr
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MeSH Terms
Descriptor/Qualifier:
Bartonella Infections / diagnosis*
Bartonella quintana*
Female
Humans
Middle Aged
Retinitis / diagnosis,  microbiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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