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Acute endogenous endophthalmitis due to Bartonella henselae
D A Goldstein1, L Mouritsen, S Friedlander
1Department of Ophthalmology, University of Illinois at Chicago, Chicago, IL, USA. debrgold@uic.edu
Abstract:
A 45-year-old man presented with progressively worsening vitreitis of 1 week's duration. Treatment for cat-scratch disease 3 years prior to presentation and persistent vitreitis led to vitrectomy, and analysis of the vitrectomy specimen revealed inflammatory cells and necrotic debris; polymerase-chain-reaction analysis of the vitreous fluid sample, done by use of a novel heminested protocol, demonstrated the presence of Bartonella henselae DNA. Treatment with doxycycline led to improvement in the intraocular inflammation but resulted in a poor visual outcome.
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