Rapidly declining visual acuity from neuroretinitis should prompt aggressive diagnostic intervention to preserve eyesight. We present a young adult with human immunodeficiency virus (HIV) infection in whom neuroretinitis was the presenting feature of disseminated bartonellosis. Tissue biopsy was required to establish the diagnosis and directed therapy was associated with restored vision.
From the Sections of *Infectious Diseases and †Retrovirology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
Accepted for publication January 24, 2010.
Address for correspondence: Ankhi Dutta, MD, 1102 Bates Street, Suite 1120, Houston, TX 77030. E-mail: firstname.lastname@example.org.