[Abrupt visual loss in children. Three case studies of ocular bartonellosis].
OBJECTIVE
To evaluate the severity and progression of neuroretinitis in children caused by Bartonella.


METHODS
Retrospective study of three consecutive cases. Patients underwent ophthalmological, medical, and radiological evaluations. Bartonella serology was positive. Intravenous treatment was started immediately with antibiotics and steroids. Patients were re-evaluated after visual acuity recovery.


RESULTS
Progression was quickly positive with fosfomycin and fluoroquinolones in all cases.


CONCLUSIONS
Bartonella induces neuroretinitis even without systemic signs of cat-scratch disease, with sometimes sudden bilateral blindness. Long-term progression is good but urgent medical treatment is necessary.
Depeyre
C
C
Service d'Ophtalmologie, CHT de Nouméa. oboulaba@voila.fr
Mancel
E
E
Besson-Leaud
L
L
Goursaud
R
R
D000293:Adolescent; D001474:Bartonella Infections / Q000150:complications*; D001766:Blindness / Q000382:microbiology*; D002648:Child; D018450:Disease Progression; D015818:Eye Infections, Bacterial / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012720:Severity of Illness Index