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Eur J Ophthalmol. 2009 Mar-Apr;19(2):307-9.

Bartonellosis causing bilateral Leber neuroretinitis: a case report.

Author information

1
Clínica David, Unidad Oftalmológica, Morelia, Michoacan and General Hospital "Dr. Miguel Silva," SSA, Morelia, Michoacan - Mexico. tolodamota@yahoo.com.mx

Abstract

PURPOSE:

Bartonella henselae is the causal agent of cat scratch disease and one variation in its presentation is Leber neuroretinitis. The unilateral presence of exudation as a macular star and papilledema represent its most common presentation.

METHODS:

Observational case report. A 7-year-old girl presented a sudden decrease of visual acuity and bilateral macular exudation (macular star) as well as choroiditis.

RESULTS:

A complete recovery of visual acuity was seen after a 6-week follow-up. Erythromycin plus deflazacort treatment was given.

CONCLUSIONS:

The present case represents an unusual variety of cat scratch disease. This represents a challenge in the differential diagnosis of diseases such as Lyme disease and tuberculosis among others.

PMID:
19253255
[Indexed for MEDLINE]
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