A case of Bartonella neuroretinitis with macular star diagnosed by clinical, epidemiological, serological, and molecular data: resolution after initiation of antimicrobial therapy.
Walter de Araujo Eyer-SilvaLetícia Stéfanie Curvello WutkeAlexandre de Carvalho Mendes PaivaGuilherme Almeida Rosa da SilvaFernando Raphael de Almeida FerryDario José Hart Pontes SignoriniJonathan Gonçalves de OliveiraElba Regina Sampaio LemosPublished in: Revista da Sociedade Brasileira de Medicina Tropical (2020)
The differential diagnosis of optic neuritis is broad and varied. We report the case of a 24-year-old Brazilian man who presented with five-week history of fever, malaise, myalgia, severe fatigue, tender right preauricular lymphadenopathy, and acute vision blurring associated with right optic disc swelling and exudates in a macular star pattern. His illness developed soon after an infestation of fleas broke out among his cats. Diagnosis of ocular bartonellosis was confirmed by serological and molecular analyses targeting amplification of Bartonella spp. htrA gene. Signs and symptoms only improved after initiation of antimicrobial therapy.
Keyphrases
- optical coherence tomography
- diabetic retinopathy
- staphylococcus aureus
- optic nerve
- single molecule
- liver failure
- drug induced
- sleep quality
- early onset
- randomized controlled trial
- copy number
- stem cells
- hepatitis b virus
- respiratory failure
- age related macular degeneration
- study protocol
- mesenchymal stem cells
- double blind