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[Abrupt visual loss in children. Three case studies of ocular bartonellosis]
C Depeyre1, E Mancel, L Besson-Leaud
1Service d'Ophtalmologie, CHT de Nouméa. oboulaba@voila.fr
Purpose:
To evaluate the severity and progression of neuroretinitis in children caused by Bartonella.
Patients And Methods:
Retrospective study of three consecutive cases. Patients underwent ophthalmological, medical, and radiological evaluations. Bartonella serology was positive. Intravenous treatment was started immediately with antibiotics and steroids. Patients were re-evaluated after visual acuity recovery.
Results:
Progression was quickly positive with fosfomycin and fluoroquinolones in all cases.
Conclusion:
Bartonella induces neuroretinitis even without systemic signs of cat-scratch disease, with sometimes sudden bilateral blindness. Long-term progression is good but urgent medical treatment is necessary.
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