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Related Experiment Videos

Presumed ocular bartonellosis.

F T Kerkhoff1, J M Ossewaarde, W S de Loos

  • 1Department of Ophthalmology, FC Donders Institute, University Hospital Utrecht, Netherlands.

The British Journal of Ophthalmology
|June 12, 1999
PubMed
Summary
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Bartonella henselae infections can cause serious eye conditions like neuroretinitis and panuveitis. Early consideration of Bartonella henselae is crucial for timely diagnosis and treatment, improving visual outcomes.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • The spectrum of diseases caused by Bartonella henselae is expanding.
  • Ocular involvement in Bartonella henselae infections is increasingly diagnosed.

Observation:

  • 13 patients with intraocular inflammatory disease and laboratory evidence of bartonellosis were studied.
  • Nine patients had neuroretinitis, and four had panuveitis with positive antibody titers against Bartonella henselae.

Findings:

  • Antibiotic treatment improved visual acuity in 53% of affected eyes.
  • Optic disc atrophy and cystoid macular edema led to poor visual acuity in 17% of eyes at 6 months.
  • Systemic symptoms of cat scratch disease were absent in most cases despite animal exposure.

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Implications:

  • Bartonella henselae should be considered in neuroretinitis and panuveitis, particularly with optic nerve involvement.
  • Diagnosis is possible even without typical systemic symptoms of cat scratch disease.
  • Prompt diagnosis and treatment can improve visual prognosis in Bartonella henselae-related ocular disease.