Ophthalmic manifestations of Rochalimaea species.
Am J Ophthalmol
; 118(2): 145-51, 1994 Aug 15.
Article
en En
| MEDLINE
| ID: mdl-8053459
Rochalimaea henselae and R. quintana belong to the order Rickettsiales and are thought to be responsible for trench fever, bacillary angiomatosis, and cat scratch disease. We recently examined four patients with intraocular inflammation of unknown origin. Each patient had either unilateral or bilateral moderate loss of visual acuity ranging from 20/25 to counting fingers. Bilateral intraocular inflammation manifested by anterior and posterior segment cells, retinal lesions, macular exudate, and optic nerve head swelling was present to varying degrees. The R. henselae to R. quintana antibody titers were greater than or equal to 1:256 in each case. Marked improvement in vision occurred after treatment with either oral ciprofloxacin hydrochloride and prednisone or doxycycline hyclate. Rochalimaea species should be considered in the differential diagnosis of intraocular inflammation and inflammatory optic neuropathy. Appropriate treatment may result in marked improvement in visual acuity.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Infecciones por Bartonella
/
Infecciones Bacterianas del Ojo
/
Endoftalmitis
Tipo de estudio:
Diagnostic_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Am J Ophthalmol
Año:
1994
Tipo del documento:
Article
Pais de publicación:
Estados Unidos