Clinical challenge – scratching the surface of the sheath
| Autor: | Julie Falardeau, Christopher Dermarkarian, Jiwei Sheng, Rod Foroozan |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Pathology
medicine.medical_specialty genetic structures Ipilimumab Kitten 03 medical and health sciences 0302 clinical medicine biology.animal Edema medicine Adrenal insufficiency Bartonella henselae biology business.industry Melanoma biology.organism_classification medicine.disease eye diseases Ophthalmology 030221 ophthalmology & optometry Optic nerve sense organs medicine.symptom business 030217 neurology & neurosurgery medicine.drug Spindle Cell Melanoma |
| Zdroj: | Survey of Ophthalmology. 67:875-878 |
| ISSN: | 0039-6257 |
| DOI: | 10.1016/j.survophthal.2021.02.004 |
| Popis: | A 63-year-old white man with hypertension, hyperlipidemia, adrenal insufficiency, and history of metastatic spindle cell melanoma previously treated with ipilimumab, presented with unilateral papillitis in the left eye. The disc edema evolved to neuroretinitis with additional MRI findings of perineuritis. Broad laboratory evaluation confirmed active B. henselae infection, and he confirmed exposure to a newly adopted kitten. His vision improved following a course of antibiotics and oral steroids with resolution of clinical findings. To the best of our knowledge, this is the first reported case of cat-scratch neuroretinitis with MRI findings of optic nerve and optic nerve sheath enhancement. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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