Atypical Bartonella hensalae chorioretinitis in an immunocompromised patient

Sayjal J. Patel; Robert Petrarca; Syed Mahmood Shah; Ingrid Zimmer-Galler; Kashif A. Janjua; Diana V. Do; Quan Dong Nguyen

doi:10.1080/09273940801899780

Atypical Bartonella hensalae chorioretinitis in an immunocompromised patient

Sayjal J. Patel, Robert Petrarca, Syed Mahmood Shah, Ingrid Zimmer-Galler, Kashif A. Janjua, Diana V. Do, Quan Dong Nguyen

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Purpose: To report an atypical case of chorioretinopathy in a patient with bilateral renal transplantations. Methods: A 55-year-old female was referred for management of birdshot chorioretinopathy. Ophthalmologic examination revealed bilateral yellowish, chorioretinal lesions with adjacent hemorrhages. Results: Angiography demonstrated lesions with hyperfluorescence, leakage, and diffuse macular edema. OCT showed intraretinal edema. Laboratory evaluation revealed IgG antibodies for Bartonella hensalae. Treatment with oral ciprofloxacin led to regression of lesions, resolution of macular edema, and improvement in visual acuity. Conclusion: Multifocal chorioretinal lesions associated with B. hensalae can be atypical ophthalmic manifestations of cat-scratch disease (CSD), which may occur in immunosuppressed patients. Recognition of underlying disease and appropriate therapy can lead to improved outcomes.

Original language	English (US)
Pages (from-to)	45-49
Number of pages	5
Journal	Ocular Immunology and Inflammation
Volume	16
Issue number	1-2
DOIs	https://doi.org/10.1080/09273940801899780
State	Published - Jan 2008
Externally published	Yes

Keywords

Bartonella hensalae
Cat-scratch disease
Chorioretinitis
Immunocompromised
Macular edema

ASJC Scopus subject areas

Immunology and Allergy
Ophthalmology

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10.1080/09273940801899780

Cite this

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title = "Atypical Bartonella hensalae chorioretinitis in an immunocompromised patient",

abstract = "Purpose: To report an atypical case of chorioretinopathy in a patient with bilateral renal transplantations. Methods: A 55-year-old female was referred for management of birdshot chorioretinopathy. Ophthalmologic examination revealed bilateral yellowish, chorioretinal lesions with adjacent hemorrhages. Results: Angiography demonstrated lesions with hyperfluorescence, leakage, and diffuse macular edema. OCT showed intraretinal edema. Laboratory evaluation revealed IgG antibodies for Bartonella hensalae. Treatment with oral ciprofloxacin led to regression of lesions, resolution of macular edema, and improvement in visual acuity. Conclusion: Multifocal chorioretinal lesions associated with B. hensalae can be atypical ophthalmic manifestations of cat-scratch disease (CSD), which may occur in immunosuppressed patients. Recognition of underlying disease and appropriate therapy can lead to improved outcomes.",

keywords = "Bartonella hensalae, Cat-scratch disease, Chorioretinitis, Immunocompromised, Macular edema",

author = "Patel, {Sayjal J.} and Robert Petrarca and Shah, {Syed Mahmood} and Ingrid Zimmer-Galler and Janjua, {Kashif A.} and Do, {Diana V.} and Nguyen, {Quan Dong}",

year = "2008",

month = jan,

doi = "10.1080/09273940801899780",

language = "English (US)",

volume = "16",

pages = "45--49",

journal = "Ocular Immunology and Inflammation",

issn = "0927-3948",

publisher = "Informa Healthcare",

number = "1-2",

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T1 - Atypical Bartonella hensalae chorioretinitis in an immunocompromised patient

AU - Patel, Sayjal J.

AU - Petrarca, Robert

AU - Shah, Syed Mahmood

AU - Zimmer-Galler, Ingrid

AU - Janjua, Kashif A.

AU - Do, Diana V.

AU - Nguyen, Quan Dong

PY - 2008/1

Y1 - 2008/1

N2 - Purpose: To report an atypical case of chorioretinopathy in a patient with bilateral renal transplantations. Methods: A 55-year-old female was referred for management of birdshot chorioretinopathy. Ophthalmologic examination revealed bilateral yellowish, chorioretinal lesions with adjacent hemorrhages. Results: Angiography demonstrated lesions with hyperfluorescence, leakage, and diffuse macular edema. OCT showed intraretinal edema. Laboratory evaluation revealed IgG antibodies for Bartonella hensalae. Treatment with oral ciprofloxacin led to regression of lesions, resolution of macular edema, and improvement in visual acuity. Conclusion: Multifocal chorioretinal lesions associated with B. hensalae can be atypical ophthalmic manifestations of cat-scratch disease (CSD), which may occur in immunosuppressed patients. Recognition of underlying disease and appropriate therapy can lead to improved outcomes.

AB - Purpose: To report an atypical case of chorioretinopathy in a patient with bilateral renal transplantations. Methods: A 55-year-old female was referred for management of birdshot chorioretinopathy. Ophthalmologic examination revealed bilateral yellowish, chorioretinal lesions with adjacent hemorrhages. Results: Angiography demonstrated lesions with hyperfluorescence, leakage, and diffuse macular edema. OCT showed intraretinal edema. Laboratory evaluation revealed IgG antibodies for Bartonella hensalae. Treatment with oral ciprofloxacin led to regression of lesions, resolution of macular edema, and improvement in visual acuity. Conclusion: Multifocal chorioretinal lesions associated with B. hensalae can be atypical ophthalmic manifestations of cat-scratch disease (CSD), which may occur in immunosuppressed patients. Recognition of underlying disease and appropriate therapy can lead to improved outcomes.

KW - Bartonella hensalae

KW - Cat-scratch disease

KW - Chorioretinitis

KW - Immunocompromised

KW - Macular edema

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ER -

Atypical Bartonella hensalae chorioretinitis in an immunocompromised patient

Abstract

Keywords

ASJC Scopus subject areas

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