Irshad Farhan A, Gordon Robert A
Tulane University School of Medicine, Department of Ophthalmology, 1413 Tulane Avenue, New Orleans, LA 70112, USA.
J AAPOS. 2009 Dec;13(6):602-4. doi: 10.1016/j.jaapos.2009.09.007.
A 15-year-old girl being treated with imatinib for chronic myelogenous leukemia (CML) presented with acute vision loss in her right eye accompanied by swelling of the right side of her neck. On examination, she was found to have disk and macular edema of the right eye. Fine-needle aspiration and excisional biopsies of an enlarged submandibular lymph node were negative for malignancy. Although initial serologies were equivocal for Bartonella henselae, repeat serologies performed 1 week later upon the appearance of a macular star were positive. This is the first reported case of B. henselae in a patient with CML.
一名15岁患有慢性粒细胞白血病(CML)并接受伊马替尼治疗的女孩,出现右眼急性视力丧失并伴有右侧颈部肿胀。检查发现她右眼有视盘和黄斑水肿。对肿大的下颌下淋巴结进行细针穿刺和切除活检,结果显示无恶性肿瘤。虽然最初的血清学检测对汉赛巴尔通体结果不明确,但在出现星芒状皮疹1周后复查血清学检测呈阳性。这是首例报道的CML患者感染汉赛巴尔通体的病例。