Neuroretinitis in ocular bartonellosis: a case series

Abdul-Rahim Raihan,1 Embong Zunaina,1,2 Wan-Hitam Wan-Hazabbah,1,2 Hussein Adil,1,2 Thavaratnam Lakana-Kumar1 1Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia; 2Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysi...

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Autores principales: Raihan AR, Zunaina E, Wan-Hazabbah WH, Adil H, Lakana-Kumar T
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Lenguaje:EN
Publicado: Dove Medical Press 2014
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Acceso en línea:https://doaj.org/article/721b25885cd9494cb5772c911fb4d76e
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spelling oai:doaj.org-article:721b25885cd9494cb5772c911fb4d76e2021-12-02T01:17:25ZNeuroretinitis in ocular bartonellosis: a case series1177-5483https://doaj.org/article/721b25885cd9494cb5772c911fb4d76e2014-08-01T00:00:00Zhttp://www.dovepress.com/neuroretinitis-in-ocular-bartonellosis-a-case-series-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Abdul-Rahim Raihan,1 Embong Zunaina,1,2 Wan-Hitam Wan-Hazabbah,1,2 Hussein Adil,1,2 Thavaratnam Lakana-Kumar1 1Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia; 2Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, MalaysiaAbstract: 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.Keyword: cat scratch diseaseRaihan ARZunaina EWan-Hazabbah WHAdil HLakana-Kumar TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1459-1466 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Raihan AR
Zunaina E
Wan-Hazabbah WH
Adil H
Lakana-Kumar T
Neuroretinitis in ocular bartonellosis: a case series
description Abdul-Rahim Raihan,1 Embong Zunaina,1,2 Wan-Hitam Wan-Hazabbah,1,2 Hussein Adil,1,2 Thavaratnam Lakana-Kumar1 1Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia; 2Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, MalaysiaAbstract: 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.Keyword: cat scratch disease
format article
author Raihan AR
Zunaina E
Wan-Hazabbah WH
Adil H
Lakana-Kumar T
author_facet Raihan AR
Zunaina E
Wan-Hazabbah WH
Adil H
Lakana-Kumar T
author_sort Raihan AR
title Neuroretinitis in ocular bartonellosis: a case series
title_short Neuroretinitis in ocular bartonellosis: a case series
title_full Neuroretinitis in ocular bartonellosis: a case series
title_fullStr Neuroretinitis in ocular bartonellosis: a case series
title_full_unstemmed Neuroretinitis in ocular bartonellosis: a case series
title_sort neuroretinitis in ocular bartonellosis: a case series
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/721b25885cd9494cb5772c911fb4d76e
work_keys_str_mv AT raihanar neuroretinitisinocularbartonellosisacaseseries
AT zunainae neuroretinitisinocularbartonellosisacaseseries
AT wanhazabbahwh neuroretinitisinocularbartonellosisacaseseries
AT adilh neuroretinitisinocularbartonellosisacaseseries
AT lakanakumart neuroretinitisinocularbartonellosisacaseseries
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