与视乳头周围血管瘤、视网膜分支动脉阻塞及严重视力丧失相关的汉赛巴尔通体感染。
Bartonella henselae infection associated with peripapillary angioma, branch retinal artery occlusion, and severe vision loss.
作者信息
Gray A V, Reed J B, Wendel R T, Morse L S
机构信息
Department of Ophthalmology, University of California, Davis, Sacramento 95817, USA.
出版信息
Am J Ophthalmol. 1999 Feb;127(2):223-4. doi: 10.1016/s0002-9394(98)00306-7.
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.
目的
报告联合使用抗生素治疗汉赛巴尔通体性视神经视网膜炎的非典型临床特征。
方法
病例报告。
结果
一名汉赛巴尔通体滴度呈阳性的20岁男性发生单侧视神经视网膜炎、大的视乳头周围血管瘤样病变、分支动脉阻塞伴缺血性黄斑病变，且视力丧失，使用克林霉素治疗后未改善。使用强力霉素和利福平治疗后临床症状迅速改善。该病例中严重的视力丧失并不典型。
结论
与汉赛巴尔通体感染相关的眼部表现可能包括视网膜血管瘤样病变和视网膜分支动脉阻塞。强力霉素和利福平成功治愈了该感染。
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