Clinical challenge - scratching the surface of the sheath.
Bartonella PCR
Bartonella antibodies
Bartonella henselae
Ipilimumab
MRI
Melanoma
Neuroretinitis
Papillitis
Perineuritis
Journal
Survey of ophthalmology
ISSN: 1879-3304
Titre abrégé: Surv Ophthalmol
Pays: United States
ID NLM: 0404551
Informations de publication
Date de publication:
Historique:
received:
20
12
2020
revised:
10
02
2021
accepted:
15
02
2021
pubmed:
22
2
2021
medline:
26
5
2022
entrez:
21
2
2021
Statut:
ppublish
Résumé
A 63-year-old Caucasian man with hypertension, hyperlipidemia, adrenal insufficiency, and history of metastatic spindle cell melanoma previously treated with ipilimumab, presented with unilateral papillitis in the left eye. The disc edema evolved to neuroretinitis with additional MRI findings of perineuritis. Broad laboratory evaluation confirmed active B. henselae infection, and he confirmed exposure to a newly adopted kitten. His vision improved following a course of antibiotics and oral steroids with resolution of clinical findings. To the best of our knowledge, this is the first reported case of cat-scratch neuroretinitis with MRI findings of optic nerve and optic nerve sheath enhancement.
Identifiants
pubmed: 33610587
pii: S0039-6257(21)00056-4
doi: 10.1016/j.survophthal.2021.02.004
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Case Reports
Editorial
Langues
eng
Sous-ensembles de citation
IM
Pagination
875-878Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.