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Neuroretinitis Secondary to Bartonella Henselae in a Patient with Myelinated Retinal Nerve Fibers: Diagnostic Dilemmas and Treatment

dc.creatorToumanidou V., Dastiridou A., Kourtis N., Androudi S.en
dc.date.accessioned2023-01-31T10:09:16Z
dc.date.available2023-01-31T10:09:16Z
dc.date.issued2019
dc.identifier10.1080/09273948.2017.1409357
dc.identifier.issn09273948
dc.identifier.urihttp://hdl.handle.net/11615/79744
dc.description.abstractPurpose: To report an unusual case of Bartonella henselae neuroretinitis (BHNR) in a patient with myelinated retinal nerve fibers (MRNFs). Methods: A 56-year-old male presented for a consultation, because of a decrease in visual acuity from his right eye. Onset was unclear and the patient was not sure if this was a new symptom. Results: Fundoscopy revealed MRNF without any other clinical findings. After 2 weeks, the patient returned complaining of further visual acuity decrease. Fundoscopy disclosed macular star formation. The patient was treated with azithromycin. The visual acuity deteriorated to 20/400 and we added systemic corticosteroids with slight improvement of the visual fields but minimal visual gain to 20/160. Serology test results were positive for BH (IgG titers>1/256). Conclusions: Co-existence of BHNR and MRNF can create diagnostic dilemmas. The presence of myelinated nerve sheath in combination with the expected swelling in neuroretinitis may have caused an irreversible mechanical nerve damage. © 2019, © 2019 Taylor & Francis Group, LLC.en
dc.language.isoenen
dc.sourceOcular Immunology and Inflammationen
dc.source.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85039549496&doi=10.1080%2f09273948.2017.1409357&partnerID=40&md5=db893c64ccbec980c978928ab9858d84
dc.subjectantibiotic agenten
dc.subjectazithromycinen
dc.subjectcorticosteroiden
dc.subjectimmunoglobulin G antibodyen
dc.subjectantiinfective agenten
dc.subjectadulten
dc.subjectantibiotic therapyen
dc.subjectantibody titeren
dc.subjectBartonella henselaeen
dc.subjectbest corrected visual acuityen
dc.subjectcase reporten
dc.subjectcat scratch diseaseen
dc.subjectclinical articleen
dc.subjectconsultationen
dc.subjectcorticosteroid therapyen
dc.subjecthumanen
dc.subjectLetteren
dc.subjectmaleen
dc.subjectmiddle ageden
dc.subjectmyelinated nerveen
dc.subjectneuroretinitisen
dc.subjectnonhumanen
dc.subjectonset ageen
dc.subjectophthalmoscopyen
dc.subjectoptic nerve atrophyen
dc.subjectretina exudateen
dc.subjectretina macula luteaen
dc.subjectretinal nerve fiber layeren
dc.subjectretinitisen
dc.subjectserologyen
dc.subjectsubretinal fluiden
dc.subjectsystemic therapyen
dc.subjectvisual fielden
dc.subjectvisual field defecten
dc.subjectbacterial eye infectionen
dc.subjectcat scratch diseaseen
dc.subjectcomplicationen
dc.subjectisolation and purificationen
dc.subjectnerve fiberen
dc.subjectpathologyen
dc.subjectretina ganglion cellen
dc.subjectretinitisen
dc.subjectvisual acuityen
dc.subjectAnti-Bacterial Agentsen
dc.subjectBartonella henselaeen
dc.subjectCat-Scratch Diseaseen
dc.subjectEye Infections, Bacterialen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectNerve Fibersen
dc.subjectOphthalmoscopyen
dc.subjectRetinal Ganglion Cellsen
dc.subjectRetinitisen
dc.subjectVisual Acuityen
dc.subjectTaylor and Francis Ltden
dc.titleNeuroretinitis Secondary to Bartonella Henselae in a Patient with Myelinated Retinal Nerve Fibers: Diagnostic Dilemmas and Treatmenten
dc.typeotheren


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