Zekraoui Y, Megzari A, El Alloussi T, Berraho A
Service d'ophtalmologie B, CHU Ibn Sina, Rabat, Maroc.
Rev Med Interne. 2011 Apr;32(4):e46-8. doi: 10.1016/j.revmed.2010.02.016. Epub 2010 Jun 19.
We report a case of cat-scratch disease neuroretinitis. A 26-year-old man was referred for severe right visual loss. Posterior segment examination showed a papilledema with macular edema. Bartonella henselae immunoglobulin G testing was positive. Four weeks of antibiotic therapy combining oral ciprofloxacin and doxycycline led to progressive resolution of the neuroretinitis and improvement in visual acuity. This report reminds that B. henselae infection can be the cause of neuroretinitis. Its prognosis can be improved by early treatment.
我们报告一例猫抓病性视神经视网膜炎病例。一名26岁男性因严重的右眼视力丧失前来就诊。眼部后段检查显示视乳头水肿伴黄斑水肿。汉赛巴尔通体免疫球蛋白G检测呈阳性。口服环丙沙星和强力霉素联合使用四周抗生素治疗后,视神经视网膜炎逐渐消退,视力得到改善。本报告提醒,汉赛巴尔通体感染可能是视神经视网膜炎的病因。早期治疗可改善其预后。