Atypical Bartonella hensalae chorioretinitis in an immunocompromised patient

Sayjal J. Patel, Robert Petrarca, Syed Mahmood Shah, Ingrid Zimmer-Galler, Kashif A. Janjua, Diana V. Do, Quan Dong Nguyen

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)45-49
Number of pages5
JournalOcular Immunology and Inflammation
Volume16
Issue number1-2
DOIs
StatePublished - Jan 1 2008

Keywords

  • Bartonella hensalae
  • Cat-scratch disease
  • Chorioretinitis
  • Immunocompromised
  • Macular edema

ASJC Scopus subject areas

  • Immunology and Allergy
  • Ophthalmology

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    Patel, S. J., Petrarca, R., Shah, S. M., Zimmer-Galler, I., Janjua, K. A., Do, D. V., & Nguyen, Q. D. (2008). Atypical Bartonella hensalae chorioretinitis in an immunocompromised patient. Ocular Immunology and Inflammation, 16(1-2), 45-49. https://doi.org/10.1080/09273940801899780