Acute Endogenous Endophthalmitis Due toBartonella henselae
Author(s) -
Debra A. Goldstein,
Lars Mouritsen,
Steven Friedlander,
Howard H. Tessler,
Deepak P. Edward
Publication year - 2001
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/321884
Subject(s) - bartonella henselae , vitrectomy , bartonella , medicine , cat scratch disease , doxycycline , endophthalmitis , uveitis , polymerase chain reaction , bartonellosis , hypopyon , ophthalmology , pathology , immunology , microbiology and biotechnology , virology , visual acuity , antibiotics , disease , serology , biology , antibody , biochemistry , gene
A 45-year-old man presented with progressively worsening vitreitis of 1 week's duration. Treatment for cat-scratch disease 3 years prior to presentation and persistent vitreitis led to vitrectomy, and analysis of the vitrectomy specimen revealed inflammatory cells and necrotic debris; polymerase-chain-reaction analysis of the vitreous fluid sample, done by use of a novel heminested protocol, demonstrated the presence of Bartonella henselae DNA. Treatment with doxycycline led to improvement in the intraocular inflammation but resulted in a poor visual outcome.
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