巴尔通体病导致双侧Leber神经视网膜炎：一例报告
Bartonellosis causing bilateral Leber neuroretinitis: a case report.
作者信息
Hernandez-Da-Mota Sergio, Escalante-Razo Felipe
机构信息
Clínica David, Unidad Oftalmológica, Morelia, Michoacan and General Hospital "Dr. Miguel Silva," SSA, Morelia, Michoacan - Mexico.
出版信息
Eur J Ophthalmol. 2009 Mar-Apr;19(2):307-9. doi: 10.1177/112067210901900225.
PURPOSE
Bartonella henselae is the causal agent of cat scratch disease and one variation in its presentation is Leber neuroretinitis. The unilateral presence of exudation as a macular star and papilledema represent its most common presentation.
METHODS
Observational case report. A 7-year-old girl presented a sudden decrease of visual acuity and bilateral macular exudation (macular star) as well as choroiditis.
RESULTS
A complete recovery of visual acuity was seen after a 6-week follow-up. Erythromycin plus deflazacort treatment was given.
CONCLUSIONS
The present case represents an unusual variety of cat scratch disease. This represents a challenge in the differential diagnosis of diseases such as Lyme disease and tuberculosis among others.
目的
亨氏巴尔通体是猫抓病的病原体，其临床表现的一种变异形式是莱伯视神经病。渗出物以黄斑星芒状和视乳头水肿的单侧出现是其最常见的表现。
方法
观察性病例报告。一名7岁女孩出现视力突然下降，双侧黄斑渗出（黄斑星芒）以及脉络膜炎。
结果
经过6周的随访，视力完全恢复。给予红霉素加地夫可特治疗。
结论
本病例代表了一种不寻常的猫抓病类型。这对莱姆病和结核病等疾病的鉴别诊断构成了挑战。
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