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BARTONELLA QUINTANA–ASSOCIATED NEURORETINITIS: LONGITUDINAL SPECTRAL-DOMAIN OPTICAL COHERENCE TOMOGRAPHIC FINDINGS

Mello, Luiz Guilherme M. MD*; Lima, Luiz H. MD; Cabral, Thiago MD*,†; Rodrigues, Mariana Z. MD*; Peçanha, Paulo M. MD*; Belfort, Rubens Jr MD, PhD

Retinal Cases & Brief Reports: July 2017 - Volume 11 - Issue 3 - p 207–210
doi: 10.1097/ICB.0000000000000338
Case Report

Purpose: To report an unusual case of neuroretinitis caused by Bartonella quintana and its spectral-domain optical coherence tomographic (SD-OCT) features.

Methods: A 12-year-old girl presented with unilateral neuroretinitis with stellate maculopathy. Bartonellosis was confirmed after serologic testing for antibodies to B. quintana.

Results: Color photograph of the right eye revealed papillitis and stellate macular exudation. spectral-domain optical coherence tomography of the right eye revealed hyperreflective dots in the outer nuclear and outer plexiform layers, as well as disruption and loss of the external limiting membrane, ellipsoid zone, and interdigitation zone in the foveal area.

Conclusion: The authors report an unusual case of neuroretinitis by B. quintana and its spectral-domain optical coherence tomographic findings.

This is a unique case of neuroretinitis caused by Bartonella quintana reporting its spectral-domain optical coherence tomographic findings.

*Department of Ophthalmology, Federal University of Espirito Santo (UFES), Espirito Santo, Brazil; and

Department of Ophthalmology, Federal University of Sao Paulo (UNIFESP), Sao Paulo, Brazil.

Reprint requests: Luiz H. Lima, MD, Federal University of Sao Paulo (UNIFESP), Rua Botucatu, 821, Vila Clementino, São Paulo 04023-062, Brazil; e-mail: luizlima9@gmail.com

None of the authors have any financial/conflicting interests to disclose.

© 2017 by Ophthalmic Communications Society, Inc.