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Neuroretinitis with dual infections

A 22-year-old Malay female presented with left eye floaters for 2 weeks, associated with temporal visual field defect and metamorphopsia for 3 days. She has a guinea pig and a hedgehog at home, but denied being bitten or scratched by them. Her visual acuity at presentation was 6/12 on the left eye a...

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Autores principales: Kiu, Kwong-Han, Hanizasurana, Hashim, Zunaina, Embong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4621193/
https://www.ncbi.nlm.nih.gov/pubmed/26527902
http://dx.doi.org/10.2147/IMCRJ.S91323
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author Kiu, Kwong-Han
Hanizasurana, Hashim
Zunaina, Embong
author_facet Kiu, Kwong-Han
Hanizasurana, Hashim
Zunaina, Embong
author_sort Kiu, Kwong-Han
collection PubMed
description A 22-year-old Malay female presented with left eye floaters for 2 weeks, associated with temporal visual field defect and metamorphopsia for 3 days. She has a guinea pig and a hedgehog at home, but denied being bitten or scratched by them. Her visual acuity at presentation was 6/12 on the left eye and 6/6 on the right eye. Her left eye relative afferent pupillary defect was barely positive with mild anterior chamber reaction. Fundus examination of the left eye showed mild vitritis, swollen optic disc with macular star, crops of active choroidal lesions at superonasal retina with a linear arrangement in the form of migratory track nasally. However, there were no nematodes seen on fundus examination. Investigations showed normal full blood count with no eosinophilia and positive serology test for Bartonella henselae. She was diagnosed to have dual infection – diffuse unilateral subacute neuroretinitis (DUSN), based on the presence of crops of choroidal lesions with migratory track, and cat scratch disease (CSD) based on a positive serological test. She was treated with oral albendazole 400 mg 12 hourly for 6 weeks for DUSN and oral doxycycline 100 mg 12 hourly for 4 weeks for CSD. Focal laser had been applied to the area of migratory track in the left eye. Her left eye vision improved to 6/6 at 1 month after treatment, with resolution of neuroretinitis.
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spelling pubmed-46211932015-11-02 Neuroretinitis with dual infections Kiu, Kwong-Han Hanizasurana, Hashim Zunaina, Embong Int Med Case Rep J Case Report A 22-year-old Malay female presented with left eye floaters for 2 weeks, associated with temporal visual field defect and metamorphopsia for 3 days. She has a guinea pig and a hedgehog at home, but denied being bitten or scratched by them. Her visual acuity at presentation was 6/12 on the left eye and 6/6 on the right eye. Her left eye relative afferent pupillary defect was barely positive with mild anterior chamber reaction. Fundus examination of the left eye showed mild vitritis, swollen optic disc with macular star, crops of active choroidal lesions at superonasal retina with a linear arrangement in the form of migratory track nasally. However, there were no nematodes seen on fundus examination. Investigations showed normal full blood count with no eosinophilia and positive serology test for Bartonella henselae. She was diagnosed to have dual infection – diffuse unilateral subacute neuroretinitis (DUSN), based on the presence of crops of choroidal lesions with migratory track, and cat scratch disease (CSD) based on a positive serological test. She was treated with oral albendazole 400 mg 12 hourly for 6 weeks for DUSN and oral doxycycline 100 mg 12 hourly for 4 weeks for CSD. Focal laser had been applied to the area of migratory track in the left eye. Her left eye vision improved to 6/6 at 1 month after treatment, with resolution of neuroretinitis. Dove Medical Press 2015-10-19 /pmc/articles/PMC4621193/ /pubmed/26527902 http://dx.doi.org/10.2147/IMCRJ.S91323 Text en © 2015 Kiu et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Kiu, Kwong-Han
Hanizasurana, Hashim
Zunaina, Embong
Neuroretinitis with dual infections
title Neuroretinitis with dual infections
title_full Neuroretinitis with dual infections
title_fullStr Neuroretinitis with dual infections
title_full_unstemmed Neuroretinitis with dual infections
title_short Neuroretinitis with dual infections
title_sort neuroretinitis with dual infections
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4621193/
https://www.ncbi.nlm.nih.gov/pubmed/26527902
http://dx.doi.org/10.2147/IMCRJ.S91323
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