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[Severe retinal phlebitis in ocular bartonellosis].
D Díaz-Valle1, N Toledano Fernández, A Arteaga Sánchez
1Hospital General de Móstoles, Madrid, España. ddiazval@nacom.es
Archivos De La Sociedad Espanola De Oftalmologia
|May 14, 2003
Summary
Cat-scratch disease, also known as ocular bartonellosis, can present with unusual eye symptoms like extensive retinal phlebitis. This case highlights the diverse ocular manifestations and successful treatment outcomes.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Cat-scratch disease (CSD) is a bacterial infection caused by Bartonella henselae.
- Ocular involvement, termed ocular bartonellosis, can manifest in various ways.
- Posterior uveitis is a less common but significant ocular manifestation of CSD.
Observation:
- A 34-year-old male presented with atypical ophthalmic findings.
- The patient exhibited extensive retinal phlebitis and neuroretinitis.
- Clinical diagnosis was supported by serological confirmation of Bartonella henselae infection.
Findings:
- Oral ciprofloxacin effectively treated the retinal phlebitis and neuroretinitis.
- The patient experienced resolution of active inflammation.
- Residual optic disc pallor was noted post-treatment.
Implications:
- This case underscores the varied clinical presentations of ocular bartonellosis.
- Ocular bartonellosis should be considered in the differential diagnosis of posterior uveitis in young individuals.
- Prompt diagnosis and treatment are crucial for managing ocular complications of CSD.