Conservative management of documented neuroretinitis in cat scratch disease associated with Bartonella henselae infection.
Aust N Z J Ophthalmol
; 27(2): 153-6, 1999 Apr.
Article
en En
| MEDLINE
| ID: mdl-10379716
BACKGROUND: Bartonella henselae has been identified as the causative agent of the neuroretinitis associated with cat scratch disease (CSD). Immunofluorescent antibody tests with good sensitivity and specificity are available to aid in diagnosis. Despite diagnostic advances, optimal management remains controversial. We present a case of documented B. henselae macular neuroretinitis managed without antibiotics and discuss antibiotic use in this condition. METHODS: We examined a young woman with macular neuroretinitis and established a diagnosis of CSD. Management consisted of a review of the literature, followed by educating her about the condition and close observation. We documented the course of her disease. RESULTS: We diagnosed neuroretinitis associated with B. henselae infection based on immunofluorescent antibody titres and clinical presentation. Our patient's neuroretinitis resolved promptly without antibiotic therapy. CONCLUSIONS: Macular neuroretinitis in CSD can be satisfactorily diagnosed with the use of fluorescent antibodies in the appropriate clinical setting. Optimal treatment for the disease has not been established and observation combined with patient education remains an appropriate option. The self-limited nature of the disease implies that treatment studies not using controls must be interpreted with great caution. Adverse drug reactions and other iatrogenic complications can be reduced by limiting antibiotic use in settings where a meaningful treatment benefit has not been established.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Retinitis
/
Enfermedad por Rasguño de Gato
/
Neuritis Óptica
/
Bartonella henselae
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Animals
/
Female
/
Humans
Idioma:
En
Revista:
Aust N Z J Ophthalmol
Asunto de la revista:
OFTALMOLOGIA
Año:
1999
Tipo del documento:
Article
País de afiliación:
Australia
Pais de publicación:
Australia