Last update:
   04-Apr-2013
 

Arch Hellen Med, 30(1), January-February 2013, 85-87

CASE REPORT

Sudden loss of vision due to retinitis following Bartonella henselae infection

G. Minadakis,1 P. Koutentakis,2 M. Koukoulakis,2 D. Chochlakis,1 Y. Tselentis,1 A. Psaroulaki1
1Laboratory of Clinical Bacteriology, Parasitology, Zoonoses and Geographical Medicine, WHO Collaborating Center for Mediterranean Zoonoses, University of Crete,
2Ophthalmology Clinic, "Venizelio" Hospital, Heraklion, Crete, Greece

We describe herein a case of sudden visual loss due to Bartonella henselae infection. Immunofluorescence methods, together with PCR and fluorescein angiography were used to identify antibodies against the pathogen, DNA of the pathogen and possible inflammation of the eye. Visual loss was verified together with the existence of an edema and of exudates at the region of the macula. Antibodies against B. henselae were detected. The patient was treated with doxycycline, ranibizumab, and cortisone. Specific therapy with systemic antibiotics and anti-angiogenesis factors is important for the treatment of neuroretinitis by B. henselae.

Key words: Anti-angiogenesis factors, Bartonella henselae, Ranibizumab, Retinitis.

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