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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
Published on: September 20, 2018
Atypical Bartonella hensalae chorioretinitis in an immunocompromised patient
Sayjal J Patel1, Robert Petrarca, Syed Mahmood Shah
1School of Medicine, Wilmer Eye Institute, The Johns Hopkins University, Baltimore, Maryland, USA.
Purpose:
To report an atypical case of chorioretinopathy in a patient with bilateral renal transplantations.
Methods:
A 55-year-old female was referred for management of birdshot chorioretinopathy. Ophthalmologic examination revealed bilateral yellowish, chorioretinal lesions with adjacent hemorrhages.
Results:
Angiography demonstrated lesions with hyperfluorescence, leakage, and diffuse macular edema. OCT showed intraretinal edema. Laboratory evaluation revealed IgG antibodies for Bartonella hensalae. Treatment with oral ciprofloxacin led to regression of lesions, resolution of macular edema, and improvement in visual acuity.
Conclusion:
Multifocal chorioretinal lesions associated with B. hensalae can be atypical ophthalmic manifestations of cat-scratch disease (CSD), which may occur in immunosuppressed patients. Recognition of underlying disease and appropriate therapy can lead to improved outcomes.
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