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Published on: April 14, 2014
Recurrent optic neuritis associated with Chlamydia pneumoniae infection of the central nervous system
Daniela Pohl1, Kevin Rostasy, Jens Gieffers
1Department of Paediatrics and Paediatric Neurology, Georg August University Göttingen, Germany.
Abstract:
It has been suggested that Chlamydia pneumoniae (C. pneumoniae) is involved in the pathogenesis of diverse diseases of the central nervous system (CNS), including multiple sclerosis. We report the case of a 12-year-old male with isolated recurrent optic neuritis and an associated CNS infection with C. pneumoniae. The patient presented with three attacks of optic neuritis within 5 months. A positive polymerase chain reaction for C. pneumoniae in the cerebrospinal fluid led to the diagnosis of a CNS infection with C. pneumoniae. After treatment with the antibiotic rifampicin, he experienced no further attacks during the follow-up period of 6 years. These findings suggest the possibility of a C. pneumoniae infection as a contributing factor or even causative event for the development of optic neuritis.
Insights
Chlamydia pneumoniae (C. pneumoniae) infection may contribute to optic neuritis. A 12-year-old patient recovered after antibiotic treatment, suggesting C. pneumoniae as a potential cause.
Area of Science:
- Neuroscience
- Infectious Diseases
- Ophthalmology
Background:
- Chlamydia pneumoniae (C. pneumoniae) is implicated in central nervous system (CNS) diseases.
- Optic neuritis, an inflammatory condition of the optic nerve, affects vision.
Observation:
- A 12-year-old male experienced recurrent optic neuritis with three attacks in five months.
- C. pneumoniae infection was detected in the cerebrospinal fluid via polymerase chain reaction.
Findings:
- Diagnosis of CNS infection with C. pneumoniae was confirmed.
- Treatment with rifampicin led to no further optic neuritis attacks over a 6-year follow-up.
Implications:
- C. pneumoniae infection is a potential contributing or causative factor in optic neuritis.
- Antibiotic therapy may be effective in managing C. pneumoniae-associated optic neuritis.
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