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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2009, Number 1

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Rev Mex Oftalmol 2009; 83 (1)

Bartonelosis como causa de neurroretinitis bilateral de Leber: reporte de un caso

Hernández MSE, Escalante-Razo FA

Language: Spanish
References: 55
Page: 38-42
PDF size: 163.01 Kb.


ABSTRACT

Introduction: Bartonella henselae is the causative agent of cat scratch disease. One of its multiple presentations is neuroretinitis of Leber. Unilateral affection with optic neuritis and exudative macular changes (macular star) are the most common findings.
Case report: We present a case of a 7-year-old female patient with sudden vision loss and massive exudation (macular star) in both eyes with a complete recovery in 1 and a half months. Erythromycin plus deflazacort treatment was given for a 6 week period.
Conclusions: This case represents an uncommon variant of neuroretinitis in cat scratch disease. It is a diagnostic challenge within various entities such as Lyme disease and tuberculosis among others.


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