Open AccessNeuroretinitis secondary to dual infection of Toxoplasma gondii and Bartonella hensalae
Author(s) -
Abdul Rahman Siti-Khadijah,
Azhany Yaakub,
Julieana Muhammed,
Wan Hazabbah Wan Hitam
Publication year - 2019
Publication title -
malaysian journal of ophthalmology
Language(s) - English
Resource type - Journals
eISSN - 2665-9565
pISSN - 2665-9557
DOI - 10.35119/myjo.v1i1.24
Subject(s) - medicine , bartonella henselae , bartonellosis , ophthalmology , visual acuity , visual field , optical coherence tomography , toxoplasmosis , serology , pathology , immunology , antibody
A 73-year-old lady with underlying diabetes presented with acute loss of central vision in the left eye. Examination revealed visual acuity of 6/60 in the left eye with positive relative afferent pupillary defect and optic disc swelling with macular oedema. Right eye visual acuity was 6/12 with unremarkable findings. Optical coherence tomography (OCT) showed elevated macular with ceacocentral field defect on Humphrey visual field. Connective tissue screening and tubercular screening were negative. Serological screening for Toxoplasma sp and Bartonella sp were positive. She was diagnosed as neuroretinitis secondary to both infections and started on oral azithromycin 500 mg once a day and oral corticosteroid. Her final vision improved to 6/12 with normal optic disc and resolved macular oedema.