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Bartonella henselae infection associated with peripapillary angioma, branch retinal artery occlusion, and severe vision loss
PURPOSE: To report atypical clinical features of Bartonella henselae neuroretinitis treated with combination antibiotics. METHOD: Case report. RESULTS: A 20-year-old man with a positive B. henselae titer developed a unilateral neuroretinitis, a large peripapillary angiomatous lesion, branch artery o...
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| Published in: | American journal of ophthalmology 1999-02, Vol.127 (2), p.223-224 |
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| container_end_page | 224 |
| container_issue | 2 |
| container_start_page | 223 |
| container_title | American journal of ophthalmology |
| container_volume | 127 |
| creator | Gray, Andrea V Reed, J.Brian Wendel, Robert T Morse, Lawrence S |
| description | PURPOSE: To report atypical clinical features of Bartonella henselae neuroretinitis treated with combination antibiotics.
METHOD: Case report.
RESULTS: A 20-year-old man with a positive B. henselae titer developed a unilateral neuroretinitis, a large peripapillary angiomatous lesion, branch artery occlusion with ischemic maculopathy, and vision loss that failed to improve with clindamycin. Treatment with doxycycline and rifampin led to rapid clinical improvement. The severe vision loss in this case is atypical.
CONCLUSIONS: Ocular findings associated with B. henselae infection may include retinal angiomatous lesion and branch retinal artery occlusion. Doxycycline and rifampin were successful in treating the infection. |
| doi_str_mv | 10.1016/S0002-9394(98)00306-7 |
| format | article |
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METHOD: Case report.
RESULTS: A 20-year-old man with a positive B. henselae titer developed a unilateral neuroretinitis, a large peripapillary angiomatous lesion, branch artery occlusion with ischemic maculopathy, and vision loss that failed to improve with clindamycin. Treatment with doxycycline and rifampin led to rapid clinical improvement. The severe vision loss in this case is atypical.
CONCLUSIONS: Ocular findings associated with B. henselae infection may include retinal angiomatous lesion and branch retinal artery occlusion. Doxycycline and rifampin were successful in treating the infection.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/S0002-9394(98)00306-7</identifier><identifier>PMID: 10030575</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Antibodies, Bacterial - analysis ; Bacterial diseases ; Bartonella henselae - immunology ; Bartonellosis ; Biological and medical sciences ; Blindness - drug therapy ; Blindness - microbiology ; Blindness - pathology ; Cat-Scratch Disease - drug therapy ; Cat-Scratch Disease - microbiology ; Cat-Scratch Disease - pathology ; Defects ; Doxycycline - therapeutic use ; Drug Therapy, Combination - therapeutic use ; Enzyme-Linked Immunosorbent Assay ; Eye Infections, Bacterial - drug therapy ; Eye Infections, Bacterial - microbiology ; Eye Infections, Bacterial - pathology ; Eyes & eyesight ; Fluorescein Angiography ; Fundus Oculi ; Hemangioma, Capillary - drug therapy ; Hemangioma, Capillary - microbiology ; Hemangioma, Capillary - pathology ; Human bacterial diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Optic Neuritis - drug therapy ; Optic Neuritis - microbiology ; Optic Neuritis - pathology ; Retinal Artery Occlusion - drug therapy ; Retinal Artery Occlusion - microbiology ; Retinal Artery Occlusion - pathology ; Retinal Neoplasms - drug therapy ; Retinal Neoplasms - microbiology ; Retinal Neoplasms - pathology ; Retinal Vessels - pathology ; Retinitis - drug therapy ; Retinitis - microbiology ; Retinitis - pathology ; Rifampin - therapeutic use ; Tropical bacterial diseases ; Tropical medicine ; Veins & arteries ; Visual Acuity</subject><ispartof>American journal of ophthalmology, 1999-02, Vol.127 (2), p.223-224</ispartof><rights>1999 Elsevier Science Inc.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-22934b4bf5d69ae85aae3938dec6450bf00c362416e6e93a5a0ce3e14223d0983</citedby><cites>FETCH-LOGICAL-c418t-22934b4bf5d69ae85aae3938dec6450bf00c362416e6e93a5a0ce3e14223d0983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1705581$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10030575$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gray, Andrea V</creatorcontrib><creatorcontrib>Reed, J.Brian</creatorcontrib><creatorcontrib>Wendel, Robert T</creatorcontrib><creatorcontrib>Morse, Lawrence S</creatorcontrib><title>Bartonella henselae infection associated with peripapillary angioma, branch retinal artery occlusion, and severe vision loss</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>PURPOSE: To report atypical clinical features of Bartonella henselae neuroretinitis treated with combination antibiotics.
METHOD: Case report.
RESULTS: A 20-year-old man with a positive B. henselae titer developed a unilateral neuroretinitis, a large peripapillary angiomatous lesion, branch artery occlusion with ischemic maculopathy, and vision loss that failed to improve with clindamycin. Treatment with doxycycline and rifampin led to rapid clinical improvement. The severe vision loss in this case is atypical.
CONCLUSIONS: Ocular findings associated with B. henselae infection may include retinal angiomatous lesion and branch retinal artery occlusion. Doxycycline and rifampin were successful in treating the infection.</description><subject>Adult</subject><subject>Antibodies, Bacterial - analysis</subject><subject>Bacterial diseases</subject><subject>Bartonella henselae - immunology</subject><subject>Bartonellosis</subject><subject>Biological and medical sciences</subject><subject>Blindness - drug therapy</subject><subject>Blindness - microbiology</subject><subject>Blindness - pathology</subject><subject>Cat-Scratch Disease - drug therapy</subject><subject>Cat-Scratch Disease - microbiology</subject><subject>Cat-Scratch Disease - pathology</subject><subject>Defects</subject><subject>Doxycycline - therapeutic use</subject><subject>Drug Therapy, Combination - therapeutic use</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Eye Infections, Bacterial - drug therapy</subject><subject>Eye Infections, Bacterial - microbiology</subject><subject>Eye Infections, Bacterial - pathology</subject><subject>Eyes & eyesight</subject><subject>Fluorescein Angiography</subject><subject>Fundus Oculi</subject><subject>Hemangioma, Capillary - drug therapy</subject><subject>Hemangioma, Capillary - microbiology</subject><subject>Hemangioma, Capillary - pathology</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Optic Neuritis - drug therapy</subject><subject>Optic Neuritis - microbiology</subject><subject>Optic Neuritis - pathology</subject><subject>Retinal Artery Occlusion - drug therapy</subject><subject>Retinal Artery Occlusion - microbiology</subject><subject>Retinal Artery Occlusion - pathology</subject><subject>Retinal Neoplasms - drug therapy</subject><subject>Retinal Neoplasms - microbiology</subject><subject>Retinal Neoplasms - pathology</subject><subject>Retinal Vessels - pathology</subject><subject>Retinitis - drug therapy</subject><subject>Retinitis - microbiology</subject><subject>Retinitis - pathology</subject><subject>Rifampin - therapeutic use</subject><subject>Tropical bacterial diseases</subject><subject>Tropical medicine</subject><subject>Veins & arteries</subject><subject>Visual Acuity</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><recordid>eNqFkUuLFDEUhYMoTs_oT1ACiihMad6VrMQZfMGAC3UdUqlbdobqpCapahH88aamGxU3rkKS7x7uOQehR5S8pISqV58JIawx3IjnRr8ghBPVtHfQhurWNFQbehdtfiMn6LSU63pVrWjvoxO68rKVG_TzwuU5RRhHh7cQC4wOcIgD-DmkiF0pyQc3Q4-_h3mLJ8hhclOoeP6BXfwW0s6d4y676Lc4wxyiG3GVhPqdvB-XUmXOK9njAnvIgPdhfcJjKuUBuje4scDD43mGvr57--XyQ3P16f3HyzdXjRdUzw1jhotOdIPslXGgpXPADdc9eCUk6QZCPFdMUAUKDHfSEQ8cqGCM98RofoaeHXSnnG4WKLPdheJXzxHSUqwy0lBJWAWf_ANepyVXS8VSphQRmtGVkgfK52oiw2CnHHY1EEuJXcuxt-XYNXlrtL0tx7Z17vFRfel20P81dWijAk-PgCvejcOaaih_uJZIqWnFXh8wqJntA2RbfIDooQ-59mb7FP6zyS_hXqyr</recordid><startdate>19990201</startdate><enddate>19990201</enddate><creator>Gray, Andrea V</creator><creator>Reed, J.Brian</creator><creator>Wendel, Robert T</creator><creator>Morse, Lawrence S</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19990201</creationdate><title>Bartonella henselae infection associated with peripapillary angioma, branch retinal artery occlusion, and severe vision loss</title><author>Gray, Andrea V ; Reed, J.Brian ; Wendel, Robert T ; Morse, Lawrence S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-22934b4bf5d69ae85aae3938dec6450bf00c362416e6e93a5a0ce3e14223d0983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Antibodies, Bacterial - analysis</topic><topic>Bacterial diseases</topic><topic>Bartonella henselae - immunology</topic><topic>Bartonellosis</topic><topic>Biological and medical sciences</topic><topic>Blindness - drug therapy</topic><topic>Blindness - microbiology</topic><topic>Blindness - pathology</topic><topic>Cat-Scratch Disease - drug therapy</topic><topic>Cat-Scratch Disease - microbiology</topic><topic>Cat-Scratch Disease - pathology</topic><topic>Defects</topic><topic>Doxycycline - therapeutic use</topic><topic>Drug Therapy, Combination - therapeutic use</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Eye Infections, Bacterial - drug therapy</topic><topic>Eye Infections, Bacterial - microbiology</topic><topic>Eye Infections, Bacterial - pathology</topic><topic>Eyes & eyesight</topic><topic>Fluorescein Angiography</topic><topic>Fundus Oculi</topic><topic>Hemangioma, Capillary - drug therapy</topic><topic>Hemangioma, Capillary - microbiology</topic><topic>Hemangioma, Capillary - pathology</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Optic Neuritis - drug therapy</topic><topic>Optic Neuritis - microbiology</topic><topic>Optic Neuritis - pathology</topic><topic>Retinal Artery Occlusion - drug therapy</topic><topic>Retinal Artery Occlusion - microbiology</topic><topic>Retinal Artery Occlusion - pathology</topic><topic>Retinal Neoplasms - drug therapy</topic><topic>Retinal Neoplasms - microbiology</topic><topic>Retinal Neoplasms - pathology</topic><topic>Retinal Vessels - pathology</topic><topic>Retinitis - drug therapy</topic><topic>Retinitis - microbiology</topic><topic>Retinitis - pathology</topic><topic>Rifampin - therapeutic use</topic><topic>Tropical bacterial diseases</topic><topic>Tropical medicine</topic><topic>Veins & arteries</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gray, Andrea V</creatorcontrib><creatorcontrib>Reed, J.Brian</creatorcontrib><creatorcontrib>Wendel, Robert T</creatorcontrib><creatorcontrib>Morse, Lawrence S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gray, Andrea V</au><au>Reed, J.Brian</au><au>Wendel, Robert T</au><au>Morse, Lawrence S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bartonella henselae infection associated with peripapillary angioma, branch retinal artery occlusion, and severe vision loss</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>1999-02-01</date><risdate>1999</risdate><volume>127</volume><issue>2</issue><spage>223</spage><epage>224</epage><pages>223-224</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>PURPOSE: To report atypical clinical features of Bartonella henselae neuroretinitis treated with combination antibiotics.
METHOD: Case report.
RESULTS: A 20-year-old man with a positive B. henselae titer developed a unilateral neuroretinitis, a large peripapillary angiomatous lesion, branch artery occlusion with ischemic maculopathy, and vision loss that failed to improve with clindamycin. Treatment with doxycycline and rifampin led to rapid clinical improvement. The severe vision loss in this case is atypical.
CONCLUSIONS: Ocular findings associated with B. henselae infection may include retinal angiomatous lesion and branch retinal artery occlusion. Doxycycline and rifampin were successful in treating the infection.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10030575</pmid><doi>10.1016/S0002-9394(98)00306-7</doi><tpages>2</tpages></addata></record> |
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| ispartof | American journal of ophthalmology, 1999-02, Vol.127 (2), p.223-224 |
| issn | 0002-9394 1879-1891 |
| language | eng |
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| source | ScienceDirect Freedom Collection |
| subjects | Adult Antibodies, Bacterial - analysis Bacterial diseases Bartonella henselae - immunology Bartonellosis Biological and medical sciences Blindness - drug therapy Blindness - microbiology Blindness - pathology Cat-Scratch Disease - drug therapy Cat-Scratch Disease - microbiology Cat-Scratch Disease - pathology Defects Doxycycline - therapeutic use Drug Therapy, Combination - therapeutic use Enzyme-Linked Immunosorbent Assay Eye Infections, Bacterial - drug therapy Eye Infections, Bacterial - microbiology Eye Infections, Bacterial - pathology Eyes & eyesight Fluorescein Angiography Fundus Oculi Hemangioma, Capillary - drug therapy Hemangioma, Capillary - microbiology Hemangioma, Capillary - pathology Human bacterial diseases Humans Infectious diseases Male Medical sciences Optic Neuritis - drug therapy Optic Neuritis - microbiology Optic Neuritis - pathology Retinal Artery Occlusion - drug therapy Retinal Artery Occlusion - microbiology Retinal Artery Occlusion - pathology Retinal Neoplasms - drug therapy Retinal Neoplasms - microbiology Retinal Neoplasms - pathology Retinal Vessels - pathology Retinitis - drug therapy Retinitis - microbiology Retinitis - pathology Rifampin - therapeutic use Tropical bacterial diseases Tropical medicine Veins & arteries Visual Acuity |
| title | Bartonella henselae infection associated with peripapillary angioma, branch retinal artery occlusion, and severe vision loss |
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