title: [Abrupt visual loss in children. Three case studies of ocular bartonellosis].
abstract: 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.
authors.affiliation: Service d'Ophtalmologie, CHT de Nouméa. oboulaba@voila.fr
authors.forename: C
authors.initials: C
authors.lastname: Depeyre
authors.forename: E
authors.initials: E
authors.lastname: Mancel
authors.forename: L
authors.initials: L
authors.lastname: Besson-Leaud
authors.forename: R
authors.initials: R
authors.lastname: Goursaud
mesh_terms: 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