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Bilateral neuroretinits and exudative retinal detachment with multifocal subretinal deposits secondary to Bartonella henselae infection

PURPOSE: to describe a case of bilateral neuroretinitis with bullous retinal detachment and multiple subretinal lesions, in a 10-year-old immunocompetent girl. OBSERVATIONS: A broad workup for infectious, inflammatory and masquerade etiologies was done for the patient, resulting in positive IgM and...

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Autores principales: Fleissig, Efrat, Kim, Fiona, Sigford, Douglas Kenneth, Barr, Charles C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437794/
https://www.ncbi.nlm.nih.gov/pubmed/34541379
http://dx.doi.org/10.1016/j.ajoc.2021.101201
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author Fleissig, Efrat
Kim, Fiona
Sigford, Douglas Kenneth
Barr, Charles C.
author_facet Fleissig, Efrat
Kim, Fiona
Sigford, Douglas Kenneth
Barr, Charles C.
author_sort Fleissig, Efrat
collection PubMed
description PURPOSE: to describe a case of bilateral neuroretinitis with bullous retinal detachment and multiple subretinal lesions, in a 10-year-old immunocompetent girl. OBSERVATIONS: A broad workup for infectious, inflammatory and masquerade etiologies was done for the patient, resulting in positive IgM and IgG for Bartonella henselae. The patient demonstrated improvement in the visual acuity, and rapid resolution of the retinal detachment and subretinal lesions in both eyes in response to systemic rifampin, doxycycline and corticosteroids. CONCLUSIONS AND IMPORTANCE: Bartonella henselae neuroretinitis may present as an acute form of bullous retinal detachment with multiple subretinal lesions and markedly reduced vision. Significant visual improvement may occur with prompt treatment with a combination of systemic antibiotics and corticosteroids.
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spelling pubmed-84377942021-09-17 Bilateral neuroretinits and exudative retinal detachment with multifocal subretinal deposits secondary to Bartonella henselae infection Fleissig, Efrat Kim, Fiona Sigford, Douglas Kenneth Barr, Charles C. Am J Ophthalmol Case Rep Case Report PURPOSE: to describe a case of bilateral neuroretinitis with bullous retinal detachment and multiple subretinal lesions, in a 10-year-old immunocompetent girl. OBSERVATIONS: A broad workup for infectious, inflammatory and masquerade etiologies was done for the patient, resulting in positive IgM and IgG for Bartonella henselae. The patient demonstrated improvement in the visual acuity, and rapid resolution of the retinal detachment and subretinal lesions in both eyes in response to systemic rifampin, doxycycline and corticosteroids. CONCLUSIONS AND IMPORTANCE: Bartonella henselae neuroretinitis may present as an acute form of bullous retinal detachment with multiple subretinal lesions and markedly reduced vision. Significant visual improvement may occur with prompt treatment with a combination of systemic antibiotics and corticosteroids. Elsevier 2021-09-07 /pmc/articles/PMC8437794/ /pubmed/34541379 http://dx.doi.org/10.1016/j.ajoc.2021.101201 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Fleissig, Efrat
Kim, Fiona
Sigford, Douglas Kenneth
Barr, Charles C.
Bilateral neuroretinits and exudative retinal detachment with multifocal subretinal deposits secondary to Bartonella henselae infection
title Bilateral neuroretinits and exudative retinal detachment with multifocal subretinal deposits secondary to Bartonella henselae infection
title_full Bilateral neuroretinits and exudative retinal detachment with multifocal subretinal deposits secondary to Bartonella henselae infection
title_fullStr Bilateral neuroretinits and exudative retinal detachment with multifocal subretinal deposits secondary to Bartonella henselae infection
title_full_unstemmed Bilateral neuroretinits and exudative retinal detachment with multifocal subretinal deposits secondary to Bartonella henselae infection
title_short Bilateral neuroretinits and exudative retinal detachment with multifocal subretinal deposits secondary to Bartonella henselae infection
title_sort bilateral neuroretinits and exudative retinal detachment with multifocal subretinal deposits secondary to bartonella henselae infection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437794/
https://www.ncbi.nlm.nih.gov/pubmed/34541379
http://dx.doi.org/10.1016/j.ajoc.2021.101201
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