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Neuroretinitis in ocular bartonellosis: a case series

Authors Raihan A, Zunaina E, Wan-Hazabbah W, Adil H, Lakana-Kumar T

Received 6 March 2014

Accepted for publication 29 April 2014

Published 5 August 2014 Volume 2014:8 Pages 1459—1466


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

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, 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.

Keyword: cat scratch disease

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