Goldstein D A, Mouritsen L, Friedlander S, Tessler H H, Edward D P
Department of Ophthalmology, University of Illinois at Chicago, Chicago, IL, USA.
Clin Infect Dis. 2001 Sep 1;33(5):718-21. doi: 10.1086/321884. Epub 2001 Jul 30.
A 45-year-old man presented with progressively worsening vitreitis of 1 week's duration. Treatment for cat-scratch disease 3 years prior to presentation and persistent vitreitis led to vitrectomy, and analysis of the vitrectomy specimen revealed inflammatory cells and necrotic debris; polymerase-chain-reaction analysis of the vitreous fluid sample, done by use of a novel heminested protocol, demonstrated the presence of Bartonella henselae DNA. Treatment with doxycycline led to improvement in the intraocular inflammation but resulted in a poor visual outcome.
一名45岁男性患者，出现病程为1周且逐渐加重的玻璃体炎。该患者在此次发病前3年曾因猫抓病接受治疗，之后持续性玻璃体炎导致了玻璃体切除术，玻璃体切除标本分析显示有炎性细胞和坏死碎片；采用一种新型半巢式方案对玻璃体液样本进行聚合酶链反应分析，证实存在汉赛巴尔通体DNA。使用强力霉素治疗使眼内炎症有所改善，但视觉预后较差。
