Uveitis: an emerging clinical form of Bartonella infection

Terrada, C.; Bodaghi, Bahram; Conrath, J.; Raoult, Didier; Drancourt, Michel

doi:10.1111/j.1469-0691.2008.02202.x

Cited by 13 publications

(9 citation statements)

References 7 publications

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“…B. henselae has been found to cause POGS, neuroretinitis, retinochoroiditis, retinal vascular occlusions, vasculitis, vitritis, anterior uveitis, intermediate uveitis, posterior uveitis, papillitis and other ocular complications 15,16,43,46,48,56,59 . B. quintana has been found to cause POGS, neuroretinitis, retinitis, vasculitis, papillitis, anterior, intermediate and posterior uveitis 43,45,53 . B. grahamii has been found to cause retinitis, vasculitis, papillitis, retinal vascular occlusion, anterior and posterior uveitis 43,63 .…”

Section: Discussionmentioning

confidence: 99%

“…B. quintana has been found to cause POGS, neuroretinitis, retinitis, vasculitis, papillitis, anterior, intermediate and posterior uveitis 43,45,53 . B. grahamii has been found to cause retinitis, vasculitis, papillitis, retinal vascular occlusion, anterior and posterior uveitis 43,63 . B. elizabethae has been found to cause neuroretinitis 55.…”

Section: Discussionmentioning

confidence: 99%

“…Angiomatous lesions have also been observed in immunocompetent patients 56. Anterior and intermediate uveitis can be seen in B. henselae and B. quintana infection 43,65 . B. grahamii also can cause anterior uveitis 43…”

Section: Introductionmentioning

confidence: 99%

“…Branch retinal artery and vein occlusions and serous retinal detachment, macular hole, panuveitis with diffuse choroidal thickening simulating Vogt–Koyanagi–Harada syndrome, vitritis, vasculitis and papillitis have been noted by several authors 48,56–62 . B. quintana and B. grahamii have been found to be causes of retinitis, vasculitis and papillitis 43 . B. grahamii has also been found to cause retinal vascular occlusion 63…”

Section: Introductionmentioning

confidence: 99%

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Bartonella and intraocular inflammation: a series of cases and review of literature

Kalogeropoulos

Koumpoulis²,

Mentis³

et al. 2011

OPTH

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Purpose:To present various forms of uveitis and/or retinal vasculitis attributed to Bartonella infection and review the impact of this microorganism in patients with uveitis.Methods:Retrospective case series study. Review of clinical records of patients diagnosed with Bartonella henselae and Bartonella quintana intraocular inflammation from 2001 to 2010 in the Ocular Inflammation Department of the University Eye Clinic, Ioannina, Greece. Presentation of epidemiological and clinical data concerning Bartonella infection was provided by the international literature.Results:Eight patients with the diagnosis of Bartonella henselae and two patients with B. quintana intraocular inflammation were identified. Since four patients experienced bilateral involvement, the affected eyes totaled 14. The mean age was 36.6 years (range 12–62). Uveitic clinical entities that we found included intermediate uveitis in seven eyes (50%), vitritis in two eyes (14.2%), neuroretinitis in one eye (7.1%), focal retinochoroiditis in one eye (7.1%), branch retinal vein occlusion (BRVO) due to vasculitis in one eye (7.1%), disc edema with peripapillary serous retinal detachment in one eye (7.1%), and iridocyclitis in one eye (7.1%). Most of the patients (70%) did not experience systemic symptoms preceding the intraocular inflammation. Antimicrobial treatment was efficient in all cases with the exception of the case with neuroretinitis complicated by anterior ischemic optic neuropathy and tubulointerstitial nephritis.Conclusion:Intraocular involvement caused not only by B. henselae but also by B. quintana is being diagnosed with increasing frequency. A high index of suspicion is needed because the spectrum of Bartonella intraocular inflammation is very large. In our study the most common clinical entity was intermediate uveitis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bartonella and intraocular inflammation: a series of cases and review of literature

Kalogeropoulos

Koumpoulis²,

Mentis³

et al. 2011

OPTH

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“…Other Bartonella spp. known to cause systemic and ocular manifestation are Bartonella quintana , Bartonella grahamii , and Bartonella elizabethae 1,2. CSD is transmitted to humans through a cat scratch, cat bite, cat saliva, or cat flea bite.…”

Section: Introductionmentioning

confidence: 99%

Neuroretinitis in ocular bartonellosis: a case series

Raihan¹,

Zunaina²,

Hitam³

et al. 2014

OPTH

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We report a case series of neuroretinitis in ocular bartonellosis and describe the serologic verification for Bartonella henselae. This is a retrospective interventional case series of four patients who presented in the ophthalmology clinic of Hospital Universiti Sains Malaysia from June 2012 to March 2013. All four patients had a history of contact with cats and had fever prior to ocular symptoms. Each patient presented with neuroretinitis characterized by optic disc swelling with macular star. Serology analysis showed strongly positive for B. henselae in all of the patients. All patients were treated with oral azithromycin (except case 4, who was treated with oral doxycycline), and two patients (case 1 and case 3) had poor vision at initial presentation that warranted the use of oral prednisolone. All patients showed a good visual outcome except case 3. Vision-threatening ocular manifestation of cat scratch disease can be improved with systemic antibiotics and steroids.

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