汉赛巴尔通体性神经视网膜炎后黄斑裂孔
Macular hole following Bartonella henselae neuroretinitis.
作者信息
Donnio A, Jean-Charles A, Merle H
机构信息
Service d'Ophtalmologie, Centre Hospitalier Universitaire de Fort de France, Hopital Pierre Zobda-Quitman, Fort de France Cedex, Martinique - France (French West Indies).
出版信息
Eur J Ophthalmol. 2008 May-Jun;18(3):456-8. doi: 10.1177/112067210801800324.
PURPOSE
To report a case of macular hole secondary to Bartonella henselae neuroretinitis.
METHODS
Observational case report. An 11 year-old boy presented urgently with a decrease of visual acuity in the left eye. Posterior segment examination revealed neuroretinitis attributed to Bartonella henselae. Treatment was initiated, resulting in the disappearance of symptoms.
RESULTS
Follow-up consultations 7 months later showed a further decline in visual acuity secondary to a macular hole.
CONCLUSIONS
Cat scratch disease is a rare pathology and is most often considered benign. Serious complications can nonetheless occur, such as neuroretinitis, choroidal nodules, and disciform keratitis. The authors report a case of sequellar macular hole. They found only one previous report of macular hole caused by B henselae, which, contrary to their case, appeared rapidly 12 days after presentation.
目的
报告一例继发于汉赛巴尔通体神经视网膜炎的黄斑裂孔病例。
方法
观察性病例报告。一名11岁男孩因左眼视力下降紧急就诊。眼后段检查发现由汉赛巴尔通体引起的神经视网膜炎。开始治疗后，症状消失。
结果
7个月后的随访会诊显示，继发于黄斑裂孔的视力进一步下降。
结论
猫抓病是一种罕见的病理情况，通常被认为是良性的。然而，仍可能发生严重并发症，如神经视网膜炎、脉络膜结节和盘状角膜炎。作者报告了一例后遗症性黄斑裂孔病例。他们仅发现一篇先前关于由汉赛巴尔通体引起的黄斑裂孔的报告，与他们的病例不同，该病例在就诊后12天迅速出现。
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