A child with a rare presentation of ocular bartonellosis.
| Autor: | Shariffudin NS; Department of Ophthalmology, Hospital Selayang, Batu Caves, Selangor, Malaysia.; Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia., Min TW; Department of Ophthalmology, Hospital Selayang, Batu Caves, Selangor, Malaysia., Adnan A; Department of Ophthalmology, Hospital Selayang, Batu Caves, Selangor, Malaysia., Hashim H; Department of Ophthalmology, Hospital Selayang, Batu Caves, Selangor, Malaysia., Teo KSS; Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia. |
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| Jazyk: | angličtina |
| Zdroj: | Taiwan journal of ophthalmology [Taiwan J Ophthalmol] 2020 Aug 14; Vol. 11 (3), pp. 292-295. Date of Electronic Publication: 2020 Aug 14 (Print Publication: 2021). |
| DOI: | 10.4103/tjo.tjo_29_20 |
| Abstrakt: | A 6-year-old boy was referred from the optometrist for bilateral painless blurred vision of 2 weeks duration during routine screening. Upon examination, best-corrected visual acuity was 20/200 (right eye) and 20/120 (left eye). Anterior segment examination was normal for both eyes. Funduscopy showed bilateral optic disc swelling with peripapillary exudates and diffuse retinochoroiditis involving the posterior pole. Optical coherence tomography revealed diffuse retinal thickening with intraretinal fluids and cystoid changes of central fovea. Fluorescein angiography showed bilateral hot discs with vasculitis in all quadrants and large areas of nonperfusion at peripheral retina. The patient was initially treated as presumed ocular tuberculosis (TB) based on clinical presentation and history of contact with family member having pulmonary TB. Antituberculous therapy was started and both eyes received panretinal laser photocoagulation. After 3 weeks of anti-TB treatment, serology for Bartonella turned out to be positive. Treatment was changed to intravenous ceftriaxone for 10 days followed by oral cotrimoxazole for 6 weeks and combined treatment with oral prednisolone. Gradual clinical improvement was seen with corresponding visual gain due to the reduction of macular edema, but residual thickening remained due to its chronicity. Competing Interests: The authors declare that there are no conflicts of interests of this paper. (Copyright: © 2020 Taiwan J Ophthalmol.) |
| Databáze: | MEDLINE |
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