BARTONELLA OR CAT SCRATCH FEVER HARMS EYES MANY WAYS
Unusual retinal manifestations of cat scratch disease.
We report on 2 patients with unusual retinal manifestations of cat scratch disease (CSD), caused by Bartonella henselae.
A 42-year-old farmer presented with a 5-day history of blurred vision in his right eye. Right visual acuity was 20/25. Fundus examination of the right eye revealed mild vitreous hemorrhage and diffuse retinal hemorrhages in the mid-peripheral retina. Fluorescein angiography showed multiple vasculitic occlusions in the same area. A blood sample taken on the day of examination revealed the presence of immunoglobulin (Ig)M and IgG to B. henselae.
Oral azithromycin was given for 8 days. One month later, right visual acuity was 20/20, the vitreous and retinal hemorrhages resolved, and arteriolar attenuation and sclerosis was observed in the peripheral temporal retina.
A 66-year-old craftsman with systemic hypertension and hypercholesterolemia complained of sudden visual loss (light perception) in his left eye. Fundus evaluation and fluorescein angiography revealed central retinal artery occlusion (CRAO) in the affected eye. About 2 weeks earlier, he had been bitten and scratched on his right hand by a stray cat. Serologic testing detected the presence of IgM to B. henselae. Oral azithromycin was given for 6 days. One month later, left visual acuity was hand motion.
Ophthalmologists should be aware that unusual ocular complications associated with CSD include vitreous hemorrhage with retinal vasculitis and isolated CRAO. Vitreous hemorrhage and retinal vasculitis may be the only clinical manifestation of CSD.
[NO. READ THE RESEARCH AND SEE CLOSER TO 20 INJURIES TO THE EYE. AND OTHER INFECTIONS FOUND WITH BARTONELLA CAN ALSO CAUSE SOME OF THESE TROUBLES.
BARTONELLA HAS A MASSIVE NUMBER OF ARTICLES IN TOP JOURNALS, EVEN THOUGH IT WAS ONLY DISCOVERED IN 1992. ACCORDING TO THE TOP VETERINARY BARTONELLA RESEARCHER CURRENT DIAGNOSTICS IS FAR BEHIND ANIMAL AND HUMAN EXPOSURE.
FURTHER, THE MASSIVE NUMBERS OF GENETICALLY UNIQUE PUBLISHED SPECIES, I.E., OVER 30, IS A CONCERN OF THOSE WHO HAVE SPENT YEARS READING ON THIS SIGNIFICANT INFECTION. MY IMPRESSION OF TWO YEARS OF SELF-FUNDED READING IS ABOUT TWENTY NEGATIVE EFFECTS CAN OCCUR TO THE EYE.
THE TESTING AND TREATMENT SUGGESTED IS ROUTINE AND MISSES MASSIVE NUMBERS FOR REASONS OUTSIDE THE SCOPE OF THIS SMALL BASIC ARTICLE REPORTING A RELAPSE TREATMENT AND LITTLE AWARENESS OF IMMUNE SUPPRESSION BY THIS ORGANISM].
Int Ophthalmol. 2011 Jan 26; [Epub ahead of print] Pinna A, Puglia E, Dore S. Institute of Ophthalmology, University of Sassari, Italy.