Ocular bartonellosis in an HIV-HVC coinfected patient

Médecine et maladies infectieuses
C Merle De BoeverJ Reynes

Abstract

Bartonella henselae is the etiologic agent of the cat scratch disease and in immunocompromised patients, of bacillary angiomatosis and peliosis hepatis. Less often, ocular complications associated with B. henselae infection have been reported in immunocompetent patients and five times in HIV-infected patients. We report the case of a 42-year-old woman, coinfected by HIV-HCV, presenting with cirrhosis, who owned a cat and was hospitalized for bilateral loss of visual acuity. Ophthalmologic examination revealed bilateral papillitis with hyalitis. Nuclear magnetic resonance revealed a retrobulbar neuritis. Confirmation was given by blood tests positive for B. henselae and the exclusion of other causes of neuroretinitis with biological data. Doxycycline cured the disease rapidly.

References

Mar 1, 1993·Annals of Internal Medicine·M J DolanD Drehner
Oct 6, 2000·American Journal of Ophthalmology·E T Cunningham, J E Koehler
Dec 20, 2002·Clinics in Laboratory Medicine·Brian K Agan, Matthew J Dolan
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Feb 17, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Hernán Martínez-OsorioFernando González
Feb 7, 2006·American Journal of Ophthalmology·André L L CuriFernando Orefice

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Citations

Feb 7, 2012·Digestive Diseases and Sciences·Paulo Eduardo Neves Ferreira Velho, Marna Elise Ericson
Mar 13, 2020·Ocular Immunology and Inflammation·Ilaria TestiVishali Gupta

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