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Published on: September 20, 2018
Bilateral Bartonella henselae neuroretinitis with stellate maculopathy in a 6-year-old boy
C H D Metz1, J Buer, N Bornfeld
1University of Duisburg-Essen, Essen, Germany. claudia.metz@uk-essen.de
Purpose:
Bartonella henselae, the cause of cat-scratch disease in humans, may lead to characteristic vision-threatening ocular findings, which importantly indicate diagnosis.
Methods:
This is an observational case report of a 6-year-old boy who presented with bilateral stellate maculopathy and lymphadenopathy.
Results:
After serologic verification of B. henselae infection, systemic azithromycin therapy initiated the full recovery of visual acuity and bilateral complete resolution of stellate exudates during the following months.
Conclusion:
Stellate maculopathy should always include the differential diagnosis of B. henselae infection. In this rare case of bilateral stellate maculopathy, we observed full recovery of function following systemic macrolide therapy.
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