双侧神经视网膜炎及渗出性视网膜脱离，伴有继发于汉赛巴尔通体感染的多灶性视网膜下沉积物。
Bilateral neuroretinits and exudative retinal detachment with multifocal subretinal deposits secondary to Bartonella henselae infection.
作者信息
Fleissig Efrat, Kim Fiona, Sigford Douglas Kenneth, Barr Charles C
机构信息
Department of Ophthalmology and Visual Sciences, University of Louisville School of Medicine, Louisville, KY, USA.
Department of Ophthalmology, Tel Aviv Medical Center, Sackler Faculty of Medicine,Tel-Aviv University, Tel-Aviv, Israel.
出版信息
Am J Ophthalmol Case Rep. 2021 Sep 7;24:101201. doi: 10.1016/j.ajoc.2021.101201. eCollection 2021 Dec.
PURPOSE
to describe a case of bilateral neuroretinitis with bullous retinal detachment and multiple subretinal lesions, in a 10-year-old immunocompetent girl.
OBSERVATIONS
A broad workup for infectious, inflammatory and masquerade etiologies was done for the patient, resulting in positive IgM and IgG for Bartonella henselae. The patient demonstrated improvement in the visual acuity, and rapid resolution of the retinal detachment and subretinal lesions in both eyes in response to systemic rifampin, doxycycline and corticosteroids.
CONCLUSIONS AND IMPORTANCE
Bartonella henselae neuroretinitis may present as an acute form of bullous retinal detachment with multiple subretinal lesions and markedly reduced vision. Significant visual improvement may occur with prompt treatment with a combination of systemic antibiotics and corticosteroids.
目的
描述一名10岁免疫功能正常女孩双侧神经性视网膜炎伴大泡性视网膜脱离和多个视网膜下病变的病例。
观察结果
对该患者进行了针对感染性、炎症性和伪装病因的全面检查，结果显示汉赛巴尔通体的IgM和IgG呈阳性。患者视力有所改善，双眼视网膜脱离和视网膜下病变在全身应用利福平、强力霉素和皮质类固醇后迅速消退。
结论及重要性
汉赛巴尔通体神经性视网膜炎可能表现为急性大泡性视网膜脱离，伴有多个视网膜下病变且视力明显下降。联合使用全身抗生素和皮质类固醇进行及时治疗可能会使视力显著改善。
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